Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases
Systematic assessment of computed tomography (CT) scans and clinical symptoms is necessary to quickly indicate the correct treatment of zygomatico-orbital (ZMO) fractures. For this purpose, a clinical scoring system (=Clinical Score) was developed and correlated with CT scans to analyse its validity...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-04-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/8/2187 |
| _version_ | 1797410611873710080 |
|---|---|
| author | Lucas M. Ritschl Matthias Wittmann Achim von Bomhard Steffen Koerdt Tobias Unterhuber Victoria Kehl Herbert Deppe Klaus-Dietrich Wolff Thomas Mücke Andreas M. Fichter |
| author_facet | Lucas M. Ritschl Matthias Wittmann Achim von Bomhard Steffen Koerdt Tobias Unterhuber Victoria Kehl Herbert Deppe Klaus-Dietrich Wolff Thomas Mücke Andreas M. Fichter |
| author_sort | Lucas M. Ritschl |
| collection | DOAJ |
| description | Systematic assessment of computed tomography (CT) scans and clinical symptoms is necessary to quickly indicate the correct treatment of zygomatico-orbital (ZMO) fractures. For this purpose, a clinical scoring system (=Clinical Score) was developed and correlated with CT scans to analyse its validity. Every operated, isolated, and unilateral ZMO fracture between January 2012 and December 2016 was screened retrospectively, including patient and treatment data. All available CT scans were analysed, and the grade of dislocation was measured for each case and plane. Four hundred and sixty-one cases were included and showed a median surgery time of 66.0 min (5.0–361.0) and a median postoperative hospital stay of three days (0–25). The distribution of gender, aetiologies and age groups was significantly different (each <i>p</i> = 0.001), and the aetiology had a significant influence on the Clinical Score (<i>p</i> = 0.038). The degree of dislocation in the coronary and sagittal planes correlated significantly with the Clinical Score with regard to the orbital involvement (<i>p</i> < 0.001, ρ = 0.566; <i>p</i> < 0.001, ρ = 0.609). The simple, quick, and easy-to-apply Clinical Score showed a significant correlation with the most important planes in CT scans as well as with the clinical course. It may facilitate fast risk stratification of the patient. However, the validity of the proposed score in determining indications must now be evaluated in a prospective setting, including both operated and non-operated fractures. |
| first_indexed | 2024-03-09T04:32:43Z |
| format | Article |
| id | doaj.art-3620de0458004052bdc913084cc3698d |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:32:43Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3620de0458004052bdc913084cc3698d2023-12-03T13:32:53ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01118218710.3390/jcm11082187Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 CasesLucas M. Ritschl0Matthias Wittmann1Achim von Bomhard2Steffen Koerdt3Tobias Unterhuber4Victoria Kehl5Herbert Deppe6Klaus-Dietrich Wolff7Thomas Mücke8Andreas M. Fichter9Department of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, Berlin Institute of Health, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 13353 Berlin, GermanyDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanyInstitute of Medical Informatics, Statistics and Epidemiology, School of Medicine, Technical University of Munich, Grillparzerstrasse 18, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, St. Josefs Hospital, 47441 Moers, GermanyDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Straße 22, 81675 Munich, GermanySystematic assessment of computed tomography (CT) scans and clinical symptoms is necessary to quickly indicate the correct treatment of zygomatico-orbital (ZMO) fractures. For this purpose, a clinical scoring system (=Clinical Score) was developed and correlated with CT scans to analyse its validity. Every operated, isolated, and unilateral ZMO fracture between January 2012 and December 2016 was screened retrospectively, including patient and treatment data. All available CT scans were analysed, and the grade of dislocation was measured for each case and plane. Four hundred and sixty-one cases were included and showed a median surgery time of 66.0 min (5.0–361.0) and a median postoperative hospital stay of three days (0–25). The distribution of gender, aetiologies and age groups was significantly different (each <i>p</i> = 0.001), and the aetiology had a significant influence on the Clinical Score (<i>p</i> = 0.038). The degree of dislocation in the coronary and sagittal planes correlated significantly with the Clinical Score with regard to the orbital involvement (<i>p</i> < 0.001, ρ = 0.566; <i>p</i> < 0.001, ρ = 0.609). The simple, quick, and easy-to-apply Clinical Score showed a significant correlation with the most important planes in CT scans as well as with the clinical course. It may facilitate fast risk stratification of the patient. However, the validity of the proposed score in determining indications must now be evaluated in a prospective setting, including both operated and non-operated fractures.https://www.mdpi.com/2077-0383/11/8/2187zygomatic fracturezygomatico-orbital fractureorbital fracturecomplicationsscoring system |
| spellingShingle | Lucas M. Ritschl Matthias Wittmann Achim von Bomhard Steffen Koerdt Tobias Unterhuber Victoria Kehl Herbert Deppe Klaus-Dietrich Wolff Thomas Mücke Andreas M. Fichter Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases Journal of Clinical Medicine zygomatic fracture zygomatico-orbital fracture orbital fracture complications scoring system |
| title | Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases |
| title_full | Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases |
| title_fullStr | Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases |
| title_full_unstemmed | Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases |
| title_short | Results of a Clinical Scoring System Regarding Symptoms and Surgical Treatment of Isolated Unilateral Zygomatico-Orbital Fractures: A Single-Centre Retrospective Analysis of 461 Cases |
| title_sort | results of a clinical scoring system regarding symptoms and surgical treatment of isolated unilateral zygomatico orbital fractures a single centre retrospective analysis of 461 cases |
| topic | zygomatic fracture zygomatico-orbital fracture orbital fracture complications scoring system |
| url | https://www.mdpi.com/2077-0383/11/8/2187 |
| work_keys_str_mv | AT lucasmritschl resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT matthiaswittmann resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT achimvonbomhard resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT steffenkoerdt resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT tobiasunterhuber resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT victoriakehl resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT herbertdeppe resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT klausdietrichwolff resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT thomasmucke resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases AT andreasmfichter resultsofaclinicalscoringsystemregardingsymptomsandsurgicaltreatmentofisolatedunilateralzygomaticoorbitalfracturesasinglecentreretrospectiveanalysisof461cases |