SciELO - Scientific Electronic Library Online

vol.38 número1Fasceítis necrosante cervicofacial: una infección severa que requiere tratamiento quirúrgico temprano índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google


Revista Española de Cirugía Oral y Maxilofacial

versão On-line ISSN 2173-9161versão impressa ISSN 1130-0558


GARCIA GARCIA, Blas  e  DEAN FERRER, Alicia. Surgical indications of orbital fractures depending on the size of the fault area determined by computed tomography: a systematic review. Rev Esp Cirug Oral y Maxilofac [online]. 2016, vol.38, n.1, pp.35-41. ISSN 2173-9161.

Introduction: Surgical treatment of the orbital fractures is used in an attempt to prevent or treat complications, such as the enophthalmos, double vision, or limitations in ocular movements. The aim of this study is to carry out a systematic review of the literature in order to quantify the fault area in orbital walls. It also aims to increase the volume of the orbital cavity in the orbital traumatism that determines the appearance of ocular symptomatology and that, in turn, may require surgical reconstruction. Material and methods: An electronic search was conducted in Medline (Pub-Med) using the terms: "orbital", "volume", "fracture", "enophthalmos" and "computer". Only these studies that relied on CT measurements, only included fractures of floor and medial wall of the orbit, and fulfilled the criteria for high methodological quality, were selected. Results: Various studies determine that fractures with areas greater than 1.10-2.00 cm2, as well as an increase in orbital volume, will lead to the appearance of enophthalmos in 10-15% of the cases. In addition, for every 1 cm3 increase in the volume of the orbital cavity, the enophthalmos increases between 0.47 mm and 0.90 mm. Conclusions: According to the published results, surgical orbital reconstruction is indicated for faults greater than 2 cm2, with a volume greater than 1.62 cm3, an orbital volume greater than 10-15% of the orbital cavity, or when the fracture is located in the innermost region, between the floor and medial wall of the orbit in the so called "key area".

Palavras-chave : Orbital; Fracture; Volume; Enophthalmos; Computed tomography.

        · resumo em Espanhol     · texto em Espanhol | Inglês     · Inglês ( pdf ) | Espanhol ( pdf )


Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons