DIPLOPIA AND ORBITAL FLOOR SURGICAL INDICATION IN ZYGOMATIC MAXILLARY COMPLEX FRACTURES. 10-YEAR PRELIMINARY STUDY
Authors:
Giorgio Lo Giudice1, Antonino La Fauci2, Enrico Nastro Siniscalchi2, Francesco Saverio De Ponte2
Affiliation:
1 Department of Neurosciences, Reproductive and Odontostomatological Sciences, Maxillofacial Surgery Unit, University of Naples “Federico II”, Via Pansini, 5, 80131 Naples, Italy;
2 Department of Biomedical, Dental Sciences and Morphological and Functional Images, Maxillo-Facial Surgery Unit, University Hospital “G. Martino”, University of Messina, Via Consolare Valeria 1, 98124 Messina, Italy
Doi: 10.54936/haoms242p75
ABSTRACT:
Literature describes variable rates of diplopia of associated to zygomatic maxillary complex (ZMC) fractures, spanning from 6% to 40%. The aim of this study on orbital changes in ZMC fractures is to retrospectively assess if diplopia and its validation through the orthoptic evaluation, is a reliable predictor of surgical treatment indication of the orbital floor of ZMC fracture patients and its possible association with specific clinical determinants. Data of patients attending the Maxillofacial Surgery Unit of the University of Messina, between January 2012 and December 2022 were retrieved. Statistical analysis of positive vs negative diplopia at both the clinical examination and the orthoptic evaluation and subgroup analysis were performed. 320 patients were included in analysis. 50 vs 270 showed diplopia at the clinical examination, while 70 vs 250 patient showed diplopia at the orthoptic evaluation. Statistical analysis for every determinant and subgroups did not show statistical significance (p > 0.05). Performing a routine orthoptic evaluation allowed an increase of 6.3% positive reports. While it seems that no basic clinical parameter can predict diplopia, the orthoptic evaluation appears to be a more objective mean to assess this symptom. This may lead to a higher number of patients suitable for surgery and possibly guiding physicians to a different operative program from the start.
KEY WORDS: diplopia; zygomatic fractures; orbital floor fractures; ZMC fractures
Authors:
Giorgio Lo Giudice1, Antonino La Fauci2, Enrico Nastro Siniscalchi2, Francesco Saverio De Ponte2
Affiliation:
1 Department of Neurosciences, Reproductive and Odontostomatological Sciences, Maxillofacial Surgery Unit, University of Naples “Federico II”, Via Pansini, 5, 80131 Naples, Italy;
2 Department of Biomedical, Dental Sciences and Morphological and Functional Images, Maxillo-Facial Surgery Unit, University Hospital “G. Martino”, University of Messina, Via Consolare Valeria 1, 98124 Messina, Italy
Doi: 10.54936/haoms242p75
ABSTRACT:
Literature describes variable rates of diplopia of associated to zygomatic maxillary complex (ZMC) fractures, spanning from 6% to 40%. The aim of this study on orbital changes in ZMC fractures is to retrospectively assess if diplopia and its validation through the orthoptic evaluation, is a reliable predictor of surgical treatment indication of the orbital floor of ZMC fracture patients and its possible association with specific clinical determinants. Data of patients attending the Maxillofacial Surgery Unit of the University of Messina, between January 2012 and December 2022 were retrieved. Statistical analysis of positive vs negative diplopia at both the clinical examination and the orthoptic evaluation and subgroup analysis were performed. 320 patients were included in analysis. 50 vs 270 showed diplopia at the clinical examination, while 70 vs 250 patient showed diplopia at the orthoptic evaluation. Statistical analysis for every determinant and subgroups did not show statistical significance (p > 0.05). Performing a routine orthoptic evaluation allowed an increase of 6.3% positive reports. While it seems that no basic clinical parameter can predict diplopia, the orthoptic evaluation appears to be a more objective mean to assess this symptom. This may lead to a higher number of patients suitable for surgery and possibly guiding physicians to a different operative program from the start.
KEY WORDS: diplopia; zygomatic fractures; orbital floor fractures; ZMC fractures