Starck Ella, Lusila Niilo, Suojanen Juho, Kormi Eeva
Clinicum, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.
Päijät-Häme Joint Authority for Health and Wellbeing, Department of Radiology, Päijät-Häme Central Hospital, 15850 Lahti, Finland.
J Clin Med. 2024 Jun 20;13(12):3618. doi: 10.3390/jcm13123618.
Blowout fractures are common midfacial fractures in which one or several of the bones of orbital vault break. This is usually caused by a direct trauma to the eye with a blunt object such as a fist. Fracturing of the fragile orbital bones can lead to changes in the orbital volume, which may cause enophthalmos, diplopia, and impaired facial aesthetics. : The aim of this study is to investigate whether there is an association between volume change of the bony orbit and age, gender, or trauma mechanism. : A retrospective study of patients with unilateral blowout or blow-in fractures treated and examined in Päijät-Häme Central Hospital, Lahti, Finland was conducted. Altogether, 127 patients met the inclusion criteria. Their computed tomographs (CT) were measured with an orbit-specific automated segmentation-based volume measurement tool, and the relative orbital volume change between fractured and intact orbital vault was calculated. Thereafter, a statistical analysis was performed. A -value less than 0.05 was considered significant. : We found that relative increase in orbital volume and age have a statistically significant association ( = 0.022). Trauma mechanism and gender showed no significant role. : Patient's age is associated with increased volume change in fractures of the bony orbit.
爆裂性骨折是常见的面中部骨折，其中眶顶的一块或几块骨头发生断裂。这通常是由拳头等钝器直接撞击眼睛所致。脆弱的眶骨骨折会导致眶内容积改变，进而可能引起眼球内陷、复视和面部美观受损。本研究的目的是调查眶骨容积变化与年龄、性别或外伤机制之间是否存在关联。对在芬兰拉赫蒂的派亚特-海梅中心医院接受治疗和检查的单侧爆裂性或爆裂性骨折患者进行了一项回顾性研究。共有127名患者符合纳入标准。使用基于特定眼眶自动分割的容积测量工具对他们的计算机断层扫描（CT）进行测量，并计算骨折侧与完整眶顶之间的相对眶容积变化。此后，进行了统计分析。P值小于0.05被认为具有统计学意义。我们发现眶容积相对增加与年龄具有统计学意义的关联（P = 0.022）。外伤机制和性别未显示出显著作用。患者年龄与眶骨骨折时的容积变化增加有关。
