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

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.

Publikationsverlauf

Accepted Manuscript online:
22. November 2023

Artikel online veröffentlicht:
13. Dezember 2023

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