Evaluation of Complications of Midface Fracture Including the Orbital Floor

Author:

Sandhu Rameet1,Sikarwar Vikas2,Ojha Sushil3,Upadhyay Dushyant3,Agarwal Amit4,Sharma Apoorva5

Affiliation:

1. Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India

2. Otolaryngology and Head and Neck Surgery, Govt. Doon Medical College, Dehradun, Uttarakhand, India

3. Department of Ophthalmology, Government Doon Medical College, Dehradun, Uttarakhand, India

4. Department of Oral and Maxillofacial Surgery, Seema Dental College and Hospital, Rishikesh, Uttarakhand, India

5. Department of Oral and Maxillofacial Pathology and Microbiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India

Abstract

ABSTRACT Background: Choosing an appropriate course of treatment for midface fracture can be challenging due to the variable presentations of midfacial fractures and concurrent orbital floor injuries. Objectives: To evaluate complications of midface fracture including the orbital floor. Materials and Methods: It was a cross-sectional study carried out on 456 patients diagnosed with midface fracture, including the orbital floor, clinically and radiographically. The computed tomography radiograph of each study participant was evaluated. There was a thorough clinical assessment of each study participant. Results: There were complications like laceration (47.3%), hematoma (54.2%), infraorbital nerve paraesthesia (13.05%), Contusio bulbi (13.30%), and diplopia (13.35%). No complications were observed in 8.25% of study participants. The most common complication was laceration. Conclusion: The eyeball, orbit, soft tissues, and surrounding structures should be precisely examined clinically and radiologically in midface fractures.

Publisher

Medknow

Reference6 articles.

1. Ophthalmic complications in maxillofacial trauma:A prospective study;Jain;Cureus,2022

2. Ocular injuries associated with midface fractures:A 5 Year Survey;Rajkumar;J Maxillofac Oral Surg,2015

3. Increased reliability in medial canthal tendon reposition in nasoorbitoethmoidal fractures with computer-assisted surgery and surgical navigation;Alamillos;Plast Reconstr Surg Glob Open,2023

4. A Clinical study of the evaluation and assessment of the etiology and patterns of ocular injuries in midfacial trauma in a tertiary care hospital;Umarane;Cureus,2020

5. Midface fracture pattern in a tertiary care hospital-A prospective study;Shivakotee;Natl J Maxillofac Surg,2022

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