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Retrospective Cohort Study of Frequency and Patterns of Orbital Injuries on Whole-Body CT with Maxillofacial Multi-Slice CT

1
Department of Radiology and Neuroradiology, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683 Berlin, Germany
2
Institute for Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, 17475 Greifswald, Germany
*
Author to whom correspondence should be addressed.
These authors contributed equally to this article.
Academic Editor: Michail Plotkin
Tomography 2021, 7(3), 373-386; https://doi.org/10.3390/tomography7030033
Received: 13 June 2021 / Revised: 27 July 2021 / Accepted: 12 August 2021 / Published: 17 August 2021
Background: High-impact trauma frequently leads to injuries of the orbit, but literature focusing on the viscerocranium rather than the neurocranium is underrepresented. Methods: Retrospective cohort study (2006–2014) at an urban level 1 trauma center assessing the frequency and typical patterns of orbital injuries on whole-body computed tomography (WBCT) with maxillofacial multi-slice CT (MSCT) after severe trauma. (1) Screening of consecutive WBCT cases for dedicated maxillofacial MSCT. (2) Examination by two independent experts’ radiologists for (peri-/)orbital injuries. (3) Case review for trauma mechanisms. Results: 1061 WBCT were included revealing 250 (23.6%) patients with orbital injuries. Less than one-quarter (23.3%) of patients showed osseous and 9.5% showed soft tissue injuries. Combined osseous and soft tissue lesions were present in 39.2% of orbital injuries, isolated soft tissue injuries were rare. Single- or two-wall fractures of the orbit were prevalent, and the orbital floor was affected in 67% of fractures. Dislocated extraocular muscles (44.6%), deformation of the ocular globe (23.8%), and elongation of the optic nerve (12.9%) were the most frequently soft tissue findings. Vascular trauma was suspected in 15.8% of patients. Conclusions: Orbital trauma was confirmed in 23.6% of cases with suspected facial injuries after severe trauma. Concomitant soft tissue injuries should be excluded explicitly in cases with orbital fractures to prevent loss of vision or ocular motility. View Full-Text
Keywords: orbital trauma; polytrauma; orbital soft tissue injury; maxillofacial; emergency imaging orbital trauma; polytrauma; orbital soft tissue injury; maxillofacial; emergency imaging
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MDPI and ACS Style

Goelz, L.; Syperek, A.; Heske, S.; Mutze, S.; Hosten, N.; Kirsch, M. Retrospective Cohort Study of Frequency and Patterns of Orbital Injuries on Whole-Body CT with Maxillofacial Multi-Slice CT. Tomography 2021, 7, 373-386. https://doi.org/10.3390/tomography7030033

AMA Style

Goelz L, Syperek A, Heske S, Mutze S, Hosten N, Kirsch M. Retrospective Cohort Study of Frequency and Patterns of Orbital Injuries on Whole-Body CT with Maxillofacial Multi-Slice CT. Tomography. 2021; 7(3):373-386. https://doi.org/10.3390/tomography7030033

Chicago/Turabian Style

Goelz, Leonie, Annika Syperek, Stephanie Heske, Sven Mutze, Norbert Hosten, and Michael Kirsch. 2021. "Retrospective Cohort Study of Frequency and Patterns of Orbital Injuries on Whole-Body CT with Maxillofacial Multi-Slice CT" Tomography 7, no. 3: 373-386. https://doi.org/10.3390/tomography7030033

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