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Orbital blowout fracture location in Japanese and Chinese patients.
- Source :
-
Japanese journal of ophthalmology [Jpn J Ophthalmol] 2015 Jan; Vol. 59 (1), pp. 65-9. Date of Electronic Publication: 2014 Nov 08. - Publication Year :
- 2015
-
Abstract
- Purpose: To characterize the location of orbital blowout fractures in Asian individuals.<br />Methods: This was a retrospective review of 470 consecutive Asian patients with orbital blowout fractures who presented to four tertiary care hospitals in Japan and China. Computed tomography (CT) characterized the location and severity of fractures involving the medial wall, the orbital floor, and/or the maxilloethmoidal strut.<br />Results: A total of 475 orbital blowout fractures were identified. More than one fracture location was involved in 19% of all cases. The medial orbital wall was the most commonly involved location, presenting in 29 cases (61%), of which 204 (43%) were isolated medial blowout fractures. The orbital floor was the second most common location involved, present in 226 cases (48%) with 150 isolated orbital floor fractures (32%), while the maxilloethmoidal strut was involved in 45 cases (9%) with 30 of those being isolated strut fractures (6%). The majority of fractures (62%) were classified as moderately severe, whilst 14% were mild, and 24% were severe. Associated nasal fractures were present in 16% of the cases.<br />Conclusions: Orbital blowout fractures in Japanese and Chinese individuals occur most commonly in the medial wall. This is in contrast to previous reports on white individuals, who tend to sustain fractures involving the orbital floor rather than the medial wall.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Asian People ethnology
China epidemiology
Eye Injuries diagnostic imaging
Eye Injuries ethnology
Female
Humans
Japan epidemiology
Male
Middle Aged
Orbital Fractures diagnostic imaging
Orbital Fractures ethnology
Retrospective Studies
Tertiary Care Centers
Tomography, X-Ray Computed
Wounds, Nonpenetrating diagnostic imaging
Wounds, Nonpenetrating ethnology
Young Adult
Eye Injuries pathology
Orbital Fractures pathology
Wounds, Nonpenetrating pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1613-2246
- Volume :
- 59
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Japanese journal of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 25377495
- Full Text :
- https://doi.org/10.1007/s10384-014-0357-x