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VOLUME 7 , ISSUE 3 ( July-September, 2016 ) > List of Articles

RESEARCH ARTICLE

Ocular Injuries in Association with Middle Third Facial Injuries in Developing Countries: A Prospective Study

S Mohanavalli, E Suma, G Senthamarai, G Sree Vijayabala

Citation Information : Mohanavalli S, Suma E, Senthamarai G, Vijayabala GS. Ocular Injuries in Association with Middle Third Facial Injuries in Developing Countries: A Prospective Study. World J Dent 2016; 7 (3):135-140.

DOI: 10.5005/jp-journals-10015-1382

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

The middle third of the face is the most common site of injury and is frequently complicated by associated ocular injuries. It may be simple laceration, ecchymosis, circumorbital edema, or severe as globe injury or injury to the optic nerve and vision loss. Even severe injury like internal bleeding causes increased intraocular pressure and damages the optic nerve; if managed earlier, it could prevent further damage and dysfunction of the eye. Midfacial fractures associated with ocular injuries should have an early ophthalmological examination to detect ocular injuries. Little is known about the current epidemiology of midface fractures and associated ocular injuries in Tamil Nadu, the state of India. The aim was to study the etiology and pattern of middle third fracture and associated ocular injuries.

Materials and methods

This prospective study on midface fractures was carried out in the Department of Dentistry to analyze etiology, incidence, and patterns of midface fractures and associated ocular injuries. A total of 201 patients who reported with the history of midface injuries were included in the study. These patients were examined clinically and routine radiographs and computerized tomography magnetic resonance imaging (MRI) were taken to confirm the diagnosis. All the patients sustaining confirmed middle third fractures with or without eye signs were referred to an ophthalmology department for the evaluation and management of associated ophthalmic injury. Statistical Package for the Social Sciences software version 16.0 was used for data analysis. The outcome of the study was measured using percentages, mean, standard deviation, and test of proportion as appropriate.

Results

Traffic accident was the major cause of injury, mainly by motorized two wheelers (MTWs). Males in the 21 to 40 age group were common victims. Zygomatic complex fracture was the most common fracture type. Subconjunctival hemorrhage and infraorbital nerve injuries were common clinical findings.

Conclusion

Midthird facial injury cases should have an early ophthalmological examination for timely management to prevent dysfunction of the eye.

How to cite this article

Mohanavalli S, Suma E, Senthamarai G, Vijayabala GS. Ocular Injuries in Association with Middle Third Facial Injuries in Developing Countries: A Prospective Study. World J Dent 2016;7(3):135-140.


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  1. Etiology, incidence and patterns of mid-face fractures and associated ocular injuries. J Maxillofac Oral Surg 2014 Apr-Jun;13(2):115-119.
  2. Analysis of 1,545 fractures of facial region – a retrospective study. Craniomaxillofac Trauma Reconstr 2015 Dec;8(4):307-314.
  3. Incidence and causes of maxillofacial skeletal injuries at the Mayo Hospital in Lahore, Pakistan. Br J Oral Maxillofac Surg 2006 Jun;44(3):232-234.
  4. A retrospective study of hundred patients of orbito zygomatic complex fracture with brain injury. J Clin Diagn Res 2014 Jul;8(7):NC04-NC06.
  5. Diplopia following midfacial fractures. Br J Oral Maxillofac Surg 1991 Oct;29(5):302-307.
  6. The characteristics of midfacial fractures and the association with ocular injury: a prospective study. Br J Oral Maxillofac Surg 1991 Oct;29(5):291-301.
  7. Blindness after facial fractures: a 19-year retrospective study. J Oral Maxillofac Surg 2005 Feb;63(2):229-237.
  8. Blindness following fracture of the zygomatic bone. Br J Oral Maxillofac Surg 1986 Feb;24(1):12-16.
  9. Posttraumatic enophthalmos: etiology, principles of reconstruction, and correction. J Craniofac Surg 2008 Mar;19(2):351-359.
  10. Early reconstruction of the periorbital injuries. Zhonghua Zheng Xing Wai Ke Za Zhi 2008 Sep;24(5):362-364.
  11. Associated injuries in facial fractures: review of 839 patients. Br J Plast Surg 1993 Dec;46(8):635-638.
  12. Ocular injuries in midfacial fractures. Orbit 1998 Mar;17(1):41-46.
  13. Blindness and visual impairment from severe midface trauma in Nigerians. Int J Oral Maxillofac Surg 2006 Feb;35(2):127-131.
  14. Traumatic optic neuropathy – to treat or to observe? J Acta Inform Med 2012 Jun;20(2):131-132.
  15. Ocular finding in patients with orbitozygomatic complex fractures: a retrospective study. J Oral Maxillofac Surg 2008 May; 66(5):888-892.
  16. Neurosensory changes in the infraorbital nerve following zygomatic fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 Jun;99(6):657-665.
  17. Facial fractures. A review of 368 cases. Int J Oral Surg 1980 Feb;9(1):25-30.
  18. Peterson's principles of oral and maxillofacial surgery. 2nd ed. Vol. 1. Hamilton: BC Decker Inc; 2004. p. 457.
  19. Row and William's maxillofacial injuries. 2nd ed. Vol. 1. Edinburgh: Churchill Livingstone; 1994. p. 512.
  20. Evaluation of neurosensory changes in the infraorbital nerve following zygomatic fractures. J Maxillofac Oral Surg 2012 Oct-Dec;11(4):394-399.
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