Effectiveness of ultrasonography in determining medial and lateral orbital wall fractures with a curved-array scanner

Jank, Siegfried; Emshoff, Rüdiger; Strobl, Heinrich; Etzelsdorfer, Monika; Nicasi, A.; Norer, B

doi:10.1016/j.joms.2003.05.016

Cited by 15 publications

(15 citation statements)

References 16 publications

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“…The incidence of subconjunctival hemorrhage (Fig. 8) in this study was 70 %, the most common presenting sign in ocular injury, which correlates with the study done by Mimura et al [12], where incidence of subconjunctival hemorrhage in trauma was 77 %, most common location being temporal region followed by the nasal region [13]. Trauma was noted as the commonest etiology for sunconjunctival hemorrhage by Kaimbo et al [14].…”

Section: Discussionsupporting

confidence: 88%

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Patil¹,

Kotwal²,

Joshi³

et al. 2015

J. Maxillofac. Oral Surg.

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Background and purpose Midfacial fractures may often be associated with injuries to the orbit which may lead to notable dysfunction of the visual apparatus, if not detected early after injury. The purpose of this study is to evaluate the associated ophthalmic injuries in mid-face trauma and to emphasize the need for understanding the ophthalmic signs and symptoms by an attending maxillofacial surgeon. Patients and methods A total number of 60 clinically and radiographically proven subjects with midfacial fractures were considered in the study that underwent complete ophthalmological evaluation at initial presentation. Referral to ophthalmologist was considered to determine the exact nature of injury and its implications. Results by a maxillofacial surgeon and ophthalmologist were evaluated. Results In our study, a male predominance with a mean age of 32 years was observed, with the most common etiology being Road Traffic Accidents. Forty-two of the 60 patients exhibited sub-conjunctival hemorrhage accounting for 70 % of ocular injuries recorded. While 28 of the 60 patients displayed peri-orbital edema (53.3 %), 8 patients experienced diplopia (13.32 %) and 8 patients showed relative afferent pupillary defect (13.32 %). Conclusion From our study, it becomes imperative that the maxillofacial surgeon should have a thorough knowledge of the various ophthalmic injuries that could occur in association with midfacial trauma in order to prevent visual complications to the patient. Understanding of the subtle injuries to the ocular apparatus which may be undiagnosed by a maxillofacial surgeon but have significant grave outcomes is essential.

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Section: Discussionsupporting

confidence: 88%

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Patil¹,

Kotwal²,

Joshi³

et al. 2015

J. Maxillofac. Oral Surg.

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“…This justification has been backed by better results using curved array transducers. [13][14][15][16] By contrast, we found high accuracy of ultrasonography despite using conventional linear probes. This controversy needs to be tested in further studies, noting that all data supporting curved array transducers come from a single group of investigators.…”

Section: Discussioncontrasting

confidence: 67%

“…10 Instead, some investigators have recommended orbital ultrasonography as an alternative to conventional CT. The available reports, however, are not uniform in terms of its accuracy, [11][12][13][14][15][16][17] probably because of imperfect methodologies and using outdated ultrasonography equipment in older series. [18][19][20] Another suggested alternative to conventional CT in detecting orbital fractures is CBCT.…”

Section: Introductionmentioning

confidence: 99%

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

Johari‬¹,

Ghavimi²,

Mahmoudian³

et al. 2016

Dentomaxillofacial Radiology

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Objectives: To compare the diagnostic performance of ultrasonography and CBCT against CT in detecting orbital floor fractures. Methods: A total of 120 orbits with clinical suspicion of isolated orbital floor fractures underwent multislice CT scanning with coronal reconstruction; orbital ultrasonography using a standard machine equipped with a 7-to 10-MHz linear transducer; and CBCT. Patients with severe head and face injuries were not included. The diagnostic performance of ultrasonography and CBCT was reported assuming conventional CT as the imaging method of choice. Results: According to CT findings, fractures of the floor were present in 39 orbits. The sensitivity, specificity, positive-predictive value and negative-predictive value of ultrasonography in detecting orbital floor fractures were 87.2%, 100%, 100% and 94.2%, respectively. The corresponding values for CBCT were 97.4%, 97.5%, 95.0%, and 98.8%, respectively. Areas under the receiver operator characteristics curves of orbital floor fracture detection were 0.94 for ultrasonography and 0.98 for CBCT. Conclusions: When conventional CT cannot be performed in patients with clinically suspected orbital floor fracture and no severe or complex head and face injuries, CBCT could be used in detecting fractures as a reliable surrogate. Because of a lower sensitivity of ultrasonography, however, its use is limited in this regard.

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“…The relative merits of ultrasonography are considerable. Ultrasound facilities are widely available, even at the lowest level of health care 15,17,18 . The cost of investigation is comparatively cheap, it is less dependent on patient cooperation and the technical sensitivity of patient positioning is minimal 6,22 .…”

Section: Discussionmentioning

confidence: 99%

“…This has increased interest in evaluating ultrasound imaging as an alternative to conventional radiography and CT in the diagnostic evaluation of maxillofacial fractures 2,6,[14][15][16][17][18][19][20]22 . Most literature reports are very promising, but whether ultrasonography can replace conventional radiography and CT in the diagnosis of maxillofacial fractures has still to be established.…”

mentioning

confidence: 99%

A systematic review of the diagnostic role of ultrasonography in maxillofacial fractures

Adeyemo¹,

Akadiri²

2011

International Journal of Oral and Maxillofacial Surgery

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Effectiveness of ultrasonography in determining medial and lateral orbital wall fractures with a curved-array scanner

Cited by 15 publications

References 16 publications

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

A systematic review of the diagnostic role of ultrasonography in maxillofacial fractures

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