Evaluation of clinical repercussions after changes in the orbitary volume post-trauma: a systematic review
Keywords:Orbit; Orbital fractures; Diagnosis.
Introduction: trauma in the face is a prevalent situation in hospitals with urgent and emergency services. The orbital cavity is usually affected in fractures, involving bones, soft tissues and neurovascular, with an incidence of more than 40% of maxillofacial trauma. Objective: to analyze orbital traumas and their clinical repercussions, taking into account etiology and possible complications. Methodology: the study consisted of an integrative review, with original and review scientific articles indexed in the PubMed / Medline database, published over the last five years. Based on the inclusion criteria, the articles underwent careful filtering and subsequent choice, according to the emphasis on the desired information. Results and Discussion: Orbital trauma requires a thorough clinical examination and rapid diagnosis. Thus, it can be seen that diplopia, periorbital ecchymosis and enophthalmos are the most prevalent clinical findings in the studies, being caused by several etiological factors. Therefore, ophthalmological evaluations must be performed to analyze the patient's visual conditions, allowing a more coherent approach with a better prognosis for the patient. In addition, the orbital volume varies according to the etiology and fracture patterns, which can trigger complications due to the close relationship with the eyeball. Final considerations: It is noted that the repercussions found directly influence the effectiveness of the diagnosis, the predictability of complications and the treatment plan. Therefore, it is essential for the surgeon to know how to correctly evaluate and interpret clinical findings after orbital fractures.
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-Maxillo-Facial Surgery, 47(7): 1010-1016. doi: 10.1016 / j.jcms.2015.05.022.
Allison, J. R., Kearns, A., & Banks, R. J. (2019). Predicting orbital fractures in head injury: a preliminary study of clinical findings. Emergency Radiology, 1-6. doi: 10.1007 / s10140-019-01720-0.
Beyon, J. Y., & Choi, H. J. (2017). Orbital Cellulitis Following Orbital Blow-out Fracture. The Journal of Craniofacial Surgery, 28(7): 1777-1779. doi: 10.1097/SCS. 00000000 00003 732.
Ebrahimi, A., Motamedi, M. H. K., Rasouli, H. R., Naghdi, N. (2018). Enophthalmos and orbital volume changes in zygomatico-maxillary complex fractures: Is there a correlation between them?. Journal of Oral and Maxillofacial Surgery, 58438. doi: https://doi.org/ 10.1016/j.joms.2018.08.028.
Felding, U. A., Rasmussen, J., Toft, P. B., Buchwald, C. V. (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. doi: 10.1007 / s00405-016-3945-1.
Hartwig, S., Nissen, M. C., Voss, J. O., Doll, C., Adolphs, N., Heiland, M., et al (2019). Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction. Chinese Journal of Traumatology, 22: 155-160. doi: 10.1016/j.cjtee.2019.01.002.
Jung, S., Lee, J. L., Kim, C. H., Hwang, E., Lim, H., Jung, S. W., et al (2017). Postoperative Changes in Isolated Medial Orbital Wall Fractures Based on Computed Tomography. The Journal of Craniofacial Surgery, 28(8): 2038-2041. doi: 10.1097 / SCS.0000000000003956.
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. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub, 162(1): 61-64. doi: 10.5507 / bp.2017.037.
Lozada, K. N., Cleveland, P. W., Smith, J. E. (2019). Orbital Trauma. Seminars in Plastic Surgery, 33(2): 106-113. doi: 10.1055 / s-0039-1685477.
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. doi: 10.1007 / s10006-019-00775-0.
Nilsson, J., Nysjö, J., Carlsson, A. P., Thor, A. (2018). Comparison analysis of orbital shape and volume in unilateral fractured orbits. Journal of Cranio-Maxillo-Facial Surgery, 2865. doi: 10.1016 / j.jcms.2017.12.012.
Oliveira, P. G., 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-Maxillo-Facial Surgery, 3303. doi: 10.1016/j.jcms.2019.04.010.
Rajkumar, G. C., Ashwin, D. P., Singh, R., Prashanth, R., Rudresh, K. B. (2015). Ocular Injuries Associated with Midface Fractures: A 5 Year Survey. J. Maxillofac. Oral Surg, 14(4): 925-929. doi: 10.1007 / s12663-015-0778-1.
Schönegg, D., Wagner, M., Schumann, P., Essig, H., Seifert, B., Rücker, M., et al (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-Maxillo-Facial Surgery, 18: 30406-2. doi: 10.1016 / j.jcms.2018.06.008.
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. The Journal of Craniofacial Surgery, 1-6. doi: 10.1097 / SCS. 000000 00000 03823.
Shah, H. A., Shipchandler, T., Vernon, D., Baumanis, M., Chan, D., Nunery, W. R., et al (2018). Extra-ocular movement restriction and diplopia following orbital fracture repair. American Journal of Otolaryngology–Head and Neck Medicine and Surgery, 39(1): 34-36. doi: 10.1016 / j.amjoto.2017.08.008.
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. doi: 10.1007 / s10006-019-00748-3.
Young, S. M., Kim, Y. D., Kim, S. W., Jo, H. B., Lang, S. S., Cho, K., et al (2018). Conservatively Treated Orbital Blowout Fractures. Ophthalmology, 125(6): 938-944. doi: 10.1016/j.ophtha.2017.12.015.
How to Cite
Copyright (c) 2020 Thálison Ramon de Moura Batista, Kamilly de Lourdes Ramalho Frazão, Ana Karoline Vieira Melo, Emmanuell de Morais Neves
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.