Three-Dimensional Computer-Aided Analysis of 293 Isolated Blowout Fractures – Which Radiological Findings Guide Treatment Decision?
نویسندگان
چکیده
PurposeOur study purpose was to clarify the extent of isolated unilateral orbital blowout fracture in relation surgical treatment and other factors behind decision. The specific aim determine which computer-aided measurements based on radiological images associate with choice.MethodsA retrospective cohort implemented patients an fracture. Computer-aided measurement performed. variables included as primary outcome (surgical vs nonsurgical), post-traumatic volume difference (mL) compared contralateral orbit, area (mm2), depth (mm) predictor variables, age, sex, injury mechanism, side site positions recti muscles explanatory variables. Postoperative outcomes were reported. Logistic regression analysis used risk for surgery. statistical significance level set at P < .05.ResultsOf 293 patients, 28.0% received 72.0% nonsurgical treatment. Volume difference, predicted (P .001). In adjusted univariate analyses, fractures moderate severe displacement more likely receive than mild or no (OR 6.15 30.75, respectively, Isolated medial wall significantly less often 0.05, = .006) older age 0.97, .013) slightly treated Patients preoperative symptoms had persisting postoperative without symptoms.ConclusionsPositions are independent factor guiding bony is a combination strongly correlated each other. A method facilitates systematic evaluation bone fragments, fractures. Our choice. .05. Of symptoms. Positions
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ژورنال
عنوان ژورنال: Journal of Oral and Maxillofacial Surgery
سال: 2021
ISSN: ['1531-5053', '0278-2391']
DOI: https://doi.org/10.1016/j.joms.2021.06.026