Acta clinica Croatica, Vol. 62. No. 3, 2023.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.03.14
Orbital Blowout Fractures: a Retrospective Study with Literature Review
Mia Lorencin
; Department of Maxillofacial and Oral Surgery, Dubrava University Hospital, Zagreb, Croatia
Željko Orihovac
; Department of Maxillofacial and Oral Surgery, Dubrava University Hospital, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
*
Roko Žaja
; Andrija Štampar School of Public Health, Zagreb, Croatia
Ines Begović
; University of Zagreb School of Medicine, Zagreb, Croatia
* Dopisni autor.
Sažetak
Blowout fractures of the orbit are relatively common injuries of the viscerocranium.
However, there is still no general consensus on the optimal timing and method of treatment.
This article gives a comprehensive review of the pathology of the fracture, process of diagnosis,
management and follow-up, including results of a retrospective study done in the Department of
Maxillofacial and Oral Surgery, Dubrava University Hospital, Zagreb, in which we collected and
analyzed medical records of 91 patients treated for blowout fractures in our institution over a period
of three years. Our study showed that the patients admitted to our department more than 48
hours from the injury were more than 4 times likely to develop a complication that would require
additional treatment. In other words, of our 91 patients, those admitted to our department in the
first 48 hours from the injury had a more than 4 times lower rate of complications, likely due to
early recognition of the injury with early intravenous antibiotic and corticosteroid administration,
multidisciplinary treatment, and early recognition of candidates for emergency and early surgical
treatment. The results of our study show the importance of treating blowout fractures in a tertiary
care facility with expertise on the subject.
Ključne riječi
Orbit; Blowout fracture; Trauma, maxillofacial
Hrčak ID:
315079
URI
Datum izdavanja:
1.11.2023.
Posjeta: 950 *