Akademik Veri Yönetim Sistemi
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, cilt.40, sa.7, 2012 (SCI-Expanded)
The anatomical location of fractures following blunt cranio-orbital trauma is important for neurosurgeons and maxillofacial surgeons. In this study, 588 cranio-orbital fractures following blunt trauma were evaluated retrospectively with regard to the anatomical site and surgical treatment. Orbital cranial nerve injuries and the outcomes of the medical and/or surgical treatment are described. Distribution of the zygomatic complex and orbital fractures were as follows: zygomatic complex fractures (n : 304), isolated orbital fractures (n : 58), complex comminuted fractures (n : 226). In 58 cases, 69 orbit fractures were found (11 bilateral and 47 unilateral fractures). The lateral wall was the most frequent fracture (n : 63). The least frequent fracture was the roof of the orbit (n : 11). The accompanying lesions were as follows: 89.65% of cases were associated with periorbital haematoma (n : 52), 13.79% of cases with retrobulbar haemorrhage (n : 8), 96.55% cases with periorbital soft tissue oedema (n : 56), 53.45% cases with pneumocephalus (n : 31), 8.62% cases with intra-parenchymal contusion (n : 5), 6.89% cases with enophthalmia (n : 4), 5.17% of cases with rhinorrhoea (n : 3), 5.17% cases with optic bulb injury and adnexial trauma (n : 3), 32.76% cases with intra-orbital emphysema (n : 19), and 20.69% with vision dysfunctions (n : 12), of whom 2 had no optic nerve injury. (C) 2011 European Association for Cranio-Maxillo-Facial Surgery.