CC BY-NC 4.0 · Arch Plast Surg 2013; 40(04): 335-340
DOI: 10.5999/aps.2013.40.4.335
Original Article

The Correlation between the Degree of Enophthalmos and the Extent of Fracture in Medial Orbital Wall Fracture Left Untreated for Over Six Months: A Retrospective Analysis of 81 Cases at a Single Institution

Yun Sik Sung
Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea
,
Chan Min Chung
Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea
,
In Pyo Hong
Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea
› Institutsangaben

Background In patients with medial orbital wall fracture, predicting the correlation between the degree of enophthalmos and the extent of fracture is essential for deciding on surgical treatment. We conducted this retrospective study to identify the correlation between the two parameters.

Methods We quantitatively analyzed the correlation between the area of the bone defect and the degree of enophthalmos on computed tomography scans in 81 patients with medial orbital wall fracture who had been left untreated for more than six months.

Results There was a significant linear positive correlation between the area of the medial orbital wall fracture and the degree of enophthalmos with a formula of E=0.705A+0.061 (E, the degree of enophthalmos; A, the area of bone defect) (Pearson's correlation coefficient, 0.812) (P<0.05). In addition, that there were no cases in which the degree of enophthalmos was greater than 2 mm when the area of the medial orbital wall fracture was smaller than 1.90 cm2.

Conclusions Our results indicate not only that 2 mm of enophthalmos corresponds to a bone defect area of approximately 2.75 cm2 in patients with medial orbital wall fracture but also that the degree of enophthalmos could be quantitatively predicted based on the area of the bone defect even more than six months after trauma.



Publikationsverlauf

Eingereicht: 14. März 2013

Angenommen: 11. Juni 2013

Artikel online veröffentlicht:
01. Mai 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Converse JM, Smith B. Enophthalmos and diplopia in fractures of the orbital floor. Br J Plast Surg 1957; 9: 265-274
  • 2 Bowers JF. The management of blow-out fracture of the orbital floor. Surv Ophthalmol 1964; 40: 237-243
  • 3 Joseph JM, Glavas IP. Orbital fractures: a review. Clin Ophthalmol 2011; 5: 95-100
  • 4 Mathog RH. Management of orbital blow-out fractures. Otolaryngol Clin North Am 1991; 24: 79-91
  • 5 Kunz C, Sigron GR, Jaquiery C. Functional outcome after non-surgical management of orbital fractures-the bias of decision-making according to size of defect: critical review of 48 patients. Br J Oral Maxillofac Surg 07.11.2012; [Epub]. DOI: 10.1016/j.bjoms.2012.09.016.
  • 6 Migliori ME, Gladstone GJ. Determination of the normal range of exophthalmometric values for black and white adults. Am J Ophthalmol 1984; 98: 438-442
  • 7 Koo L, Hatton MP, Rubin PA. When is enophthalmos "significant"?. Ophthal Plast Reconstr Surg 2006; 22: 274-277
  • 8 Osguthorpe JD. Orbital wall fractures: evaluation and management. Otolaryngol Head Neck Surg 1991; 105: 702-707
  • 9 Kim YK, Park CS, Kim HK. et al. Correlation between changes of medial rectus muscle section and enophthalmos in patients with medial orbital wall fracture. J Plast Reconstr Aesthet Surg 2009; 62: 1379-1383
  • 10 Jin HR, Shin SO, Choo MJ. et al. Relationship between the extent of fracture and the degree of enophthalmos in isolated blowout fractures of the medial orbital wall. J Oral Maxillofac Surg 2000; 58: 617-620
  • 11 Nkenke E, Maier T, Benz M. et al. Hertel exophthalmometry versus computed tomography and optical 3D imaging for the determination of the globe position in zygomatic fractures. Int J Oral Maxillofac Surg 2004; 33: 125-133
  • 12 Kim IT, Choi JB. Normal range of exophthalmos values on orbit computerized tomography in Koreans. Ophthalmologica 2001; 215: 156-162
  • 13 Tanaka T, Morimoto Y, Kito S. et al. Evaluation of coronal CT findings of rare cases of isolated medial orbital wall blow-out fractures. Dentomaxillofac Radiol 2003; 32: 300-303
  • 14 Caranci F, Cicala D, Cappabianca S. et al. Orbital fractures: role of imaging. Semin Ultrasound CT MR 2012; 33: 385-391
  • 15 Kim HW, Kim YI, Won IK. Clinical analysis of blow-out fracture with ocualr motion limitation: comparison of surgical and conservative treatment. J Korean Ophthalmol Soc 1999; 40: 632-638
  • 16 Kim SK, Chang HK. The clinical study of treatment of blowout fracture. J Korean Ophthalmol Soc 1995; 36: 1629-1635
  • 17 Snell BJ, Flapper W, Moore M. et al. Management of isolated fractures of the medial orbital wall. J Craniofac Surg 2013; 24: 291-294
  • 18 Davanger M. Principles and sources of error in exophthalmometry A new exophthalmometer. Acta Ophthalmol (Copenh) 1970; 48: 625-633
  • 19 Manson PN, Grivas A, Rosenbaum A. et al. Studies on enophthalmos: II. The measurement of orbital injuries and their treatment by quantitative computed tomography. Plast Reconstr Surg 1986; 77: 203-214
  • 20 Hwang K, Huan F, Hwang PJ. Diplopia and enophthalmos in blowout fractures. J Craniofac Surg 2012; 23: 1077-1082