Correlation between increasing the post-trauma orbitary volume and as clinical repercussions




Orbit; Bone Fractures; Tomography; Maxilofacial surgery.


Orbital fractures occur with considerable frequency and when there is involvement of its walls, changes in orbital volume are usually observed, resulting in several clinical changes. The objective of this study is to correlate the increase in orbital volume, post-trauma in the face, with the clinical changes observed, emphasizing the influence of these variables on decision making regarding the most appropriate therapeutic intervention. A bibliographic survey was carried out in the main online databases, using the descriptors: Orbit, Bone Fractures, Tomography and Maxillofacial Surgery, covering complete articles of research, review, and also, case reports, published in the last few 5 years (2015-2020), in English, Portuguese and Spanish. Through the study, it became clear that orbital fractures represent 40% of all facial fractures, and this percentage may increase when other articulated bones are involved. There was a positive correlation between the increase in orbital volume and the occurrence of some clinical changes. Regarding the choice of the appropriate treatment for the correction of deformities, it was understood that clinical and radiographic characteristics must be observed, with diplopia, dystopia, enophthalmia, exolftalmia, ophthalmoplegia and nerve injury being the main clinical changes. In this way, it is concluded that the volumetric increase directly influences the clinical repercussions after trauma in the face, and therapeutic decisions should be considered in the process, which can be surgical or conservative.


Alhamdani, F., Durham, J., Greenwood, M., & Corbett, I. (2015). Diplopia and ocular motility in orbital blow-out fractures: 10-year retrospective study. Journal of Cranio-Maxillofacial Surgery, 43(7), 1010-1016.

Allison, J. R., Kearns, A., & Banks, R. J. (2020). Predicting orbital fractures in head injury: a preliminary study of clinical findings. Emergency radiology, 27(1), 31-36.

Andrades, P., Cuevas, P., Hernández, R., Danilla, S., & Villalobos, R. (2018). Characterization of the orbital volume in normal population. Journal of Cranio-Maxillofacial Surgery, 46(4), 594-599.

Borad, V., Lacey, M. S., Hamlar, D. D., Dresner, H. S., Yadava, G. K., & Schubert, W. (2017). Intraoperative imaging changes management in orbital fracture repair. Journal of Oral and Maxillofacial Surgery, 75(9), 1932-1940.

Byeon, J. Y., & Choi, H. J. (2017). Orbital cellulitis following orbital blow-out fracture. Journal of Craniofacial Surgery, 28(7), 1777-1779.

de Oliveira, P. G., da Câmara, C. P., & Coelho, P. V. (2019). Intra-and interreader variability of orbital volume quantification using 3D computed tomography for reconstructed orbital fractures. Journal of Cranio-Maxillofacial Surgery, 47(7), 1060-1064.

Ebrahimi, A., Motamedi, M. H. K., Rasouli, H. R., & Naghdi, N. (2019). Enophthalmos and orbital volume changes in zygomaticomaxillary complex fractures: is there a correlation between them?. Journal of Oral and Maxillofacial Surgery, 77(1), 134-e1.

El-Mahallawy, Y. A., & Al-Mahalawy, H. A. (2020). Evaluation of orbital volume after orbitozygomatic complex fractures fixation: A radiographical study. Journal of oral biology and craniofacial research, 10(2), 66-71.

Felding, U. A., Rasmussen, J., Toft, P. B., & von Buchwald, C. (2016). The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients. European Archives of Oto-Rhino-Laryngology, 273(7), 1927-1931.

Goggin, J., Jupiter, D. C., & Czerwinski, M. (2015). Simple Computed Tomography–Based Calculations of Orbital Floor Fracture Defect Size Are Not Sufficiently Accurate for Clinical Use. Journal of Oral and Maxillofacial Surgery, 73(1), 112-116.

Hartwig, S., Nissen, M. C., Voss, J. O., Doll, C., Adolphs, N., Heiland, M., & Raguse, J. D. (2019). Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction. Chinese Journal of Traumatology, 22(3), 155-160.

Jung, S., Lee, J. W., Kim, C. H., Hwang, E., Lim, H., Jung, S. W., & Koh, S. H. (2017). Postoperative changes in isolated medial orbital wall fractures based on computed tomography. Journal of Craniofacial Surgery, 28(8), 2038-2041.

Kovar, D., Holy, R., Voldrich, Z., Voska, P., Lestak, J., & Astl, J. (2018). The application of volumometry as an indication criterion in blow-out fractures. Biomedical Papers, 162(1), 61-64.

Lozada, K. N., Cleveland, P. W., & Smith, J. E. (2019). Orbital Trauma. Seminars in plastic surgery, 33(2), 106–113.

Marano, R., Lino, P. R. S., Zanetti, F., Tincani, A. J., & Oliveira, L. (2019). Is specialized ophthalmologic evaluation necessary after orbital fractures? A prospective 64-case study. Oral and maxillofacial surgery, 23(3), 325-329.

Nilsson, J., Nysjö, J., Carlsson, A. P., & Thor, A. (2018). Comparison analysis of orbital shape and volume in unilateral fractured orbits. Journal of Cranio-Maxillofacial Surgery, 46(3), 381-387.

Rajkumar, G. C., Ashwin, D. P., Singh, R., Prashanth, R., & Rudresh, K. B. (2015). Ocular injuries associated with midface fractures: A 5 year survey. Journal of maxillofacial and oral surgery, 14(4), 925-929.

Ramphul, A., & Hoffman, G. (2017). Does preoperative diplopia determine the incidence of postoperative diplopia after repair of orbital floor fracture? An institutional review. Journal of Oral and Maxillofacial Surgery, 75(3), 565-575.

Roselló, E. G., Granado, A. M. Q., Garcia, M. A., Martí, S. J., Sala, G. L., Mármol, B. B., & Gutiérrez, S. P. (2020). Facial fractures: classification and highlights for a useful report. Insights into imaging, 11(1), 1-15.

Schönegg, D., Wagner, M., Schumann, P., Essig, H., Seifert, B., Rücker, M., & Gander, T. (2018). Correlation between increased orbital volume and enophthalmos and diplopia in patients with fractures of the orbital floor or the medial orbital wall. Journal of Cranio-Maxillofacial Surgery, 46(9), 1544-1549.

Scolozzi, P., Jacquier, P., & Courvoisier, D. S. (2017). Can clinical findings predict orbital fractures and treatment decisions in patients with orbital trauma? Derivation of a simple clinical model. Journal of Craniofacial Surgery, 28(7), e661-e667.

Shah, H. A., Shipchandler, T., Vernon, D., Baumanis, M., Chan, D., Nunery, W. R., & Lee, H. B. H. (2018). Extra-ocular movement restriction and diplopia following orbital fracture repair. American journal of otolaryngology, 39(1), 34-36.

Snäll, J., Narjus-Sterba, M., Toivari, M., Wilkman, T., & Thorén, H. (2019). Does postoperative orbital volume predict postoperative globe malposition after blow-out fracture reconstruction? A 6-month clinical follow-up study. Oral and maxillofacial surgery, 23(1), 27-34.

Wi, J. M., Sung, K. H., & Chi, M. (2017). ‘Orbital volume restoration rate after orbital fracture’; a CT-based orbital volume measurement for evaluation of orbital wall reconstructive effect. Eye, 31(5), 713-719.

Young, S. M., Kim, Y. D., Kim, S. W., Jo, H. B., Lang, S. S., Cho, K., & Woo, K. I. (2018). Conservatively treated orbital blowout fractures: spontaneous radiologic improvement. Ophthalmology, 125(6), 938-944.



How to Cite

NEVES, L. E. de M.; SILVA, M. B. da .; BRITO, F. R. C.; SANTOS, G. M. de A. .; TITO, F. K. C. .; FERREIRA, M. dos S.; CABRAL, L. F. C. M. .; SOUZA, H. T. da S. .; SILVA, L. J. T. .; ROCHA, R. L. de M. . Correlation between increasing the post-trauma orbitary volume and as clinical repercussions. Research, Society and Development, [S. l.], v. 10, n. 6, p. e42710615789, 2021. DOI: 10.33448/rsd-v10i6.15789. Disponível em: Acesso em: 27 jan. 2023.



Health Sciences