Manana Wayne, Odhiambo Walter A, Chindia Mark L, Koech Kennedy
*Department of Dentistry, Division of Oral and Maxillofacial Surgery, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe †Department of Oral and Maxillofacial Surgery, School of Dental Sciences, University of Nairobi ‡Kenyatta National Referral and Teacing Hospital, Nairobi, Kenya.
J Craniofac Surg. 2017 Jun;28(4):e338-e342. doi: 10.1097/SCS.0000000000003579.
Orbital fractures are one of the commonest injuries in mid-face trauma and can lead to significant functional and cosmetic defects. This study was aimed at analyzing the pattern of orbital fractures at 2 referral centers in Nairobi. It was a descriptive prospective hospital-based study of the demographics, etiology, clinico-radiological features, and management modalities among patients presenting with orbital fractures at the University of Nairobi Dental Hospital and Kenyatta National Referral Hospital in Nairobi, Kenya. A total of 60 patients (52 males, 8 females; P <0.05) with confirmed orbital fractures were recruited during the 6-months study period. Orbital fractures occurred most frequently in the 21 to 40-year-old age group (80%, P<0.05). The principal etiological factors were motor cycle crashes; 30%, interpersonal violence 23.3%, public vehicle crushes 20%, private vehicle crushes; 10%, injury from flying objects 10% and falls 8.3%. The most commonly affected anatomical sites were the floor (75%), the lateral wall (71.7%), infra-orbital rim (66.7%), zygomatico-frontal suture (63.3%). There were 5 (8.3%) cases of total blindnessThe impure orbital fractures that involve the satellite bones especially the zygomatic complex predominate.
