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Facial Plast Surg
DOI: 10.1055/a-2216-5015
Original Research

The Association of Same-Day CT Scan with Postoperative Outcomes in Isolated Orbital Fracture Repair

Kwasi Enin
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri
,
Cole Pavelchek
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri
,
Yupeng Liu
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri
,
Sebastian Sciegienka 
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri
,
Emily Spataro 
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri
› Author Affiliations Funding This project was supported in part by the Foundation for Barnes-Jewish Hospital and their generous donors, and the Washington University Institute of Clinical and Translational Sciences, which is, in part, supported by the NIH/National Center for Advancing Translation Sciences (NCATS) under CSTA grant UL1 TR002345.
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Abstract

The potential benefits to surgical outcomes of intraoperative and/or same-day computed tomography (CT) during isolated orbital fracture reconstruction are debatable, and previous research on this topic is limited by small sample size. This retrospective IBM MarketScan Commercial and Medicare Supplemental research database study examined patients undergoing isolated orbital reconstruction from January 1, 2012 to December 31, 2018, to assess whether same-day CT affected postoperative outcomes. The average age of the 5,023 participants was 37 (standard deviation [SD]: 16) years and 63% were males. The data revealed that 16.2% (815 of 5,023) patients underwent a same-day CT. Those who underwent a same-day CT scan exhibited reduced odds of postoperative enophthalmos (adjusted odds ratio [aOR]: 0.269; 95% confidence interval [CI]: 0.167–0.433) and diplopia (aOR: 0.670; 95% CI: 0.495–906). Interestingly, these patients also displayed a higher rate of revision surgeries (aOR: 2.721; 95% CI: 1.893–3.912). In summary, while same-day CT scans diminish certain postoperative complications of orbital fracture repair, they are also associated with an increased likelihood of subsequent surgical revision.

Keywords

orbital fracture repair - outcomes - computed tomography

Author Contributions

All authors had full access to all data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. E.S. and S.S. developed the concept and designed the study. Acquisition of data was done by K.E., S.S., and E.S. Analysis and interpretation of data and drafting of the article were done by K.E. et al. Critical revision of the article for important intellectual content was done by all authors. Statistical analysis was done by K.E. Administrative, technical, or material support was provided by Washington University Department of Otolaryngology-Head and Neck Surgery. S.S. and E.S. supervised the study.


Supplementary Material



Publication History

Accepted Manuscript online:
22 November 2023

Article published online:
13 December 2023

© 2023. Thieme. All rights reserved.

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