Yau Vicky, Ma Boyu, Lin Shanshan, Zhu Shaoshi, Turner Michael D
Resident, Division of Oral & Maxillofacial Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY.
Resident, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL.
J Oral Maxillofac Surg. 2025 Sep 5. doi: 10.1016/j.joms.2025.08.016.
Orbital fractures are common midfacial injuries that present complex challenges due to the anatomical and functional intricacies of the orbit. Understanding the evolution of surgical approaches and academic perspectives is essential to guide future research and multidisciplinary management.
The purpose of this study was to describe the evolution of management of orbital fractures, highlighting scholarly focus to inform future research and multidisciplinary care.
STUDY DESIGN, SETTING, SAMPLE: This bibliometric study was conducted in January 2025. An electronic literature search was conducted on Web of Science Core Collection with search keys of orbital fracture and associated terms. Articles published between 1950 and 2024 were eligible for screening. Inclusion criteria were full-length, English-language articles, and ranking among the top 100 most-cited articles in the search results. Any literature not in English, editorial materials, letters, book chapters, meeting abstracts, notes, and reprints were excluded. The identified literature was analyzed using bibliometric and sentiment analysis.
Information on the title, abstract, authors, year of publication, country of origin, primary institution, keywords, citation count, and number of references was retrieved from all identified articles. For the top 100 most cited articles, additional data were collected, including journal, corresponding author's specialty, and research topics.
Sentiment analysis was performed on the top 100 most-cited articles using a natural language processing model to classify abstracts as positive, neutral, or negative, reflecting the overall tone of orbital fracture research. Bibliometric analyses and graphical presentations were generated using VOSviewer (Leiden University, The Netherlands).
A total of 981 articles were identified, representing 66 countries. The United States was the top publishing country with a total of 326 (33.2%) articles, followed by South Korea and China. The top 5 institutions were Shanghai Jiaotong University, Harvard University, University of Maryland, Johns Hopkins University, and Helsinki University Hospital. Articles from Baylor College of Medicine were the most cited, with a total of 460 citations. For the 100 most-cited articles, the United States remained the leading country; however, our overlay map demonstrated a subtle shift toward other countries in recent years. Four clusters of keywords were identified, including "Epidemiology," "Management," "Complications," and "Fracture Types," suggesting research trends from diagnosis and management to materials and surgical planning. These articles most frequently appeared in the Plastic and Reconstructive Surgery (n = 9, 9%), the International Journal of Oral & Maxillofacial Surgery (n = 7, 7%), and the Journal of Craniofacial Surgery (n = 7, 7%), among a total of 46 journals. Corresponding author's specialty revealed that most were in the field of ophthalmology (n = 36, 36%), followed closely by oral and maxillofacial surgery (n = 24, 24%), and then otolaryngology-head and neck surgery (n = 15, 15%).
This bibliometric analysis reveals a growing interest in orbital fracture research, with increasing publications and citations over time. The research focus has evolved from diagnosis and management to surgical innovation, with a predominance of positive sentiment in highly cited literature. These findings offer valuable insights to inform future interdisciplinary collaboration and research focus.
眼眶骨折是常见的面中部损伤，由于眼眶在解剖结构和功能上的复杂性，这类损伤带来了复杂的挑战。了解手术方法的演变和学术观点对于指导未来的研究以及多学科治疗至关重要。
本研究旨在描述眼眶骨折治疗方法的演变，突出学术重点，以为未来的研究和多学科治疗提供参考。
研究设计、地点、样本：这项文献计量学研究于2025年1月开展。在科学网核心合集上进行了电子文献检索，检索关键词为眼眶骨折及相关术语。1950年至2024年间发表的文章符合筛选条件。纳入标准为全文、英文文章，且在检索结果中被引频次位列前100的文章。排除所有非英文文献、编辑材料、信件、书籍章节、会议摘要、笔记和再版文献。使用文献计量学和情感分析对筛选出的文献进行分析。
从所有筛选出的文章中检索标题、摘要、作者、发表年份、原产国、主要机构、关键词、被引频次和参考文献数量等信息。对于被引频次最高的100篇文章，还收集了其他数据，包括期刊、通讯作者的专业领域和研究主题。
使用自然语言处理模型对被引频次最高的100篇文章进行情感分析，将摘要分类为积极、中性或消极，以反映眼眶骨折研究的整体基调。使用VOSviewer（荷兰莱顿大学）进行文献计量学分析和图形展示。
共识别出981篇文章，来自66个国家。美国是发表文章最多的国家，共有326篇（33.2%），其次是韩国和中国。排名前五的机构分别是上海交通大学、哈佛大学、马里兰大学、约翰霍普金斯大学和赫尔辛基大学医院。贝勒医学院发表的文章被引频次最高，共计460次。在被引频次最高的100篇文章中，美国仍然是主导国家；然而，我们的叠加地图显示近年来向其他国家有微妙的转移。确定了四个关键词簇，包括“流行病学”“治疗”“并发症”和“骨折类型”，表明研究趋势从诊断和治疗转向材料和手术规划。这些文章最常发表在《整形与重建外科》（9篇，9%）、《国际口腔颌面外科杂志》（7篇，7%）和《颅面外科杂志》（7篇，7%）等共计46种期刊上。通讯作者的专业领域显示，大多数是眼科领域（36篇，36%），其次是口腔颌面外科（24篇，24%），然后是耳鼻咽喉头颈外科（15篇，15%）。
这项文献计量学分析表明，随着时间的推移，眼眶骨折研究的关注度不断提高，发表文章数量和被引频次都在增加。研究重点已从诊断和治疗转向手术创新，在被引频次较高的文献中积极情绪占主导。这些发现为未来的跨学科合作和研究重点提供了有价值的见解。
