De Ravin Emma, Xu Katherine, Fritz Christian, Parhar Harman S, Rajasekaran Karthik
Department of Otorhinolaryngology Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania USA.
Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.
World J Otorhinolaryngol Head Neck Surg. 2024 Jan 8;10(3):187-192. doi: 10.1002/wjo2.158. eCollection 2024 Sep.
To date, no study provides a comprehensive analysis of traumatic orbital floor fractures across the United States. We aimed to characterize patient demographics, injury-related variables, and operative management in this population.
The National Trauma Data Bank was queried for open or closed orbital floor fractures from 2008 to 2016. Clinical data were extracted.
Overall, 148,592 orbital floor fractures were identified, with 142,577 (95.9%) closed- and 6158 (4.1%) open-type fractures. A total of 106,243 (71.5%) patients were male and the median patient age was 41 years. The majority of patients (79.2%) had abbreviated injury scale scores of ≤2, indicating minor/moderate injury. Fracture mechanism of injury (MOI) differed by gender, with the most frequent being unarmed fights in men (34.3%) and falls in women (14.0%). There were 29,600 patients (19.9%) with isolated orbital floor (I-OF) fractures. The MOI most strongly associated with operative intervention of with I-OF fractures were penetrating injuries caused by a firearm ( [OR]: 2.91; 95% []: 1.62-5.20) and cuttings/piercings (: 2.17; 95% : 1.29-3.65).
This large epidemiological study reveals that orbital floor fractures tend to present with minor or moderate injuries and are more likely to require operative intervention in setting of firearm or cut/pierce injuries.
迄今为止，尚无研究对美国各地的创伤性眶底骨折进行全面分析。我们旨在描述该人群的患者人口统计学特征、损伤相关变量及手术治疗情况。
查询国家创伤数据库中2008年至2016年的开放性或闭合性眶底骨折病例。提取临床数据。
总体而言，共识别出148,592例眶底骨折，其中142,577例（95.9%）为闭合性骨折，6158例（4.1%）为开放性骨折。共有106,243例（71.5%）患者为男性，患者中位年龄为41岁。大多数患者（79.2%）的简明损伤定级标准评分为≤2分，表明为轻度/中度损伤。损伤机制因性别而异，男性中最常见的是徒手搏斗（34.3%），女性中最常见的是跌倒（14.0%）。有29,600例（19.9%）患者为单纯眶底骨折。与单纯眶底骨折手术干预最密切相关的损伤机制是火器穿透伤（比值比[OR]：2.91；95%置信区间[CI]：1.62 - 5.20）和切割/穿刺伤（OR：2.17；95%CI：1.29 - 3.65）。
这项大型流行病学研究表明，眶底骨折往往表现为轻度或中度损伤，在火器伤或切割/穿刺伤情况下更有可能需要手术干预。
