Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches
Orbital floor fractures represent a common fracture type of the midface and are standardly diagnosed clinically as well as radiologically using linear measurement methods. The aim of this study was to evaluate the accuracy of diagnostic measurements of isolated orbital floor fractures based on two-d...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Tomography |
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| Online Access: | https://www.mdpi.com/2379-139X/9/2/47 |
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| author | Juergen Taxis Lena Ungerboeck Mika R. Gehrking Constantin Motel Matthias Wurm Alexander W. Eckert Gerrit Spanier Felix Nieberle Natascha Platz Batista da Silva Nils Ludwig Johannes K. Meier Tobias Ettl Torsten E. Reichert Steffen Spoerl |
| author_facet | Juergen Taxis Lena Ungerboeck Mika R. Gehrking Constantin Motel Matthias Wurm Alexander W. Eckert Gerrit Spanier Felix Nieberle Natascha Platz Batista da Silva Nils Ludwig Johannes K. Meier Tobias Ettl Torsten E. Reichert Steffen Spoerl |
| author_sort | Juergen Taxis |
| collection | DOAJ |
| description | Orbital floor fractures represent a common fracture type of the midface and are standardly diagnosed clinically as well as radiologically using linear measurement methods. The aim of this study was to evaluate the accuracy of diagnostic measurements of isolated orbital floor fractures based on two-dimensional (2D) and three-dimensional (3D) measurement techniques. A cohort of 177 patients was retrospectively and multi-centrically evaluated after surgical treatment of an orbital floor fracture between 2010 and 2020. In addition to 2D and 3D measurements of the fracture area, further fracture-related parameters were investigated. Calculated fracture areas using the 2D measurement technique revealed an average area of 287.59 mm<sup>2</sup>, whereas the 3D measurement showed fracture areas with a significantly larger average value of 374.16 mm<sup>2</sup> (<i>p</i> < 0.001). On average, the 3D measurements were 1.53-fold larger compared to the 2D measurements. This was observed in 145 patients, whereas only 32 patients showed smaller values in the 3D-based approach. However, the process duration of the 3D measurement took approximately twice as long as the 2D-based procedure. Nonetheless, 3D-based measurement of orbital floor defects provides a more accurate estimation of the fracture area than the 2D-based procedure and can be helpful in determining the indication and planning the surgical procedure. |
| first_indexed | 2024-03-11T04:29:09Z |
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| id | doaj.art-7db3284712b6447ab998260fb2ee7a84 |
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| issn | 2379-1381 2379-139X |
| language | English |
| last_indexed | 2024-03-11T04:29:09Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tomography |
| spelling | doaj.art-7db3284712b6447ab998260fb2ee7a842023-11-17T21:36:24ZengMDPI AGTomography2379-13812379-139X2023-03-019257958810.3390/tomography9020047Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional ApproachesJuergen Taxis0Lena Ungerboeck1Mika R. Gehrking2Constantin Motel3Matthias Wurm4Alexander W. Eckert5Gerrit Spanier6Felix Nieberle7Natascha Platz Batista da Silva8Nils Ludwig9Johannes K. Meier10Tobias Ettl11Torsten E. Reichert12Steffen Spoerl13Department of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, Paracelsus Medical University Nuremberg, Breslauer Straße 201, 90471 Nuremberg, GermanyDepartment of Cranio- and Maxillofacial Surgery, Paracelsus Medical University Nuremberg, Breslauer Straße 201, 90471 Nuremberg, GermanyDepartment of Cranio- and Maxillofacial Surgery, Paracelsus Medical University Nuremberg, Breslauer Straße 201, 90471 Nuremberg, GermanyDepartment of Cranio- and Maxillofacial Surgery, Paracelsus Medical University Nuremberg, Breslauer Straße 201, 90471 Nuremberg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Radiology, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, GermanyOrbital floor fractures represent a common fracture type of the midface and are standardly diagnosed clinically as well as radiologically using linear measurement methods. The aim of this study was to evaluate the accuracy of diagnostic measurements of isolated orbital floor fractures based on two-dimensional (2D) and three-dimensional (3D) measurement techniques. A cohort of 177 patients was retrospectively and multi-centrically evaluated after surgical treatment of an orbital floor fracture between 2010 and 2020. In addition to 2D and 3D measurements of the fracture area, further fracture-related parameters were investigated. Calculated fracture areas using the 2D measurement technique revealed an average area of 287.59 mm<sup>2</sup>, whereas the 3D measurement showed fracture areas with a significantly larger average value of 374.16 mm<sup>2</sup> (<i>p</i> < 0.001). On average, the 3D measurements were 1.53-fold larger compared to the 2D measurements. This was observed in 145 patients, whereas only 32 patients showed smaller values in the 3D-based approach. However, the process duration of the 3D measurement took approximately twice as long as the 2D-based procedure. Nonetheless, 3D-based measurement of orbital floor defects provides a more accurate estimation of the fracture area than the 2D-based procedure and can be helpful in determining the indication and planning the surgical procedure.https://www.mdpi.com/2379-139X/9/2/47orbital floor fractureblowout fracture2D fracture measurement3D fracture measurement |
| spellingShingle | Juergen Taxis Lena Ungerboeck Mika R. Gehrking Constantin Motel Matthias Wurm Alexander W. Eckert Gerrit Spanier Felix Nieberle Natascha Platz Batista da Silva Nils Ludwig Johannes K. Meier Tobias Ettl Torsten E. Reichert Steffen Spoerl Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches Tomography orbital floor fracture blowout fracture 2D fracture measurement 3D fracture measurement |
| title | Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches |
| title_full | Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches |
| title_fullStr | Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches |
| title_full_unstemmed | Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches |
| title_short | Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches |
| title_sort | two dimensional post traumatic measurements of orbital floor blowout fractures underestimate defect sizes compared to three dimensional approaches |
| topic | orbital floor fracture blowout fracture 2D fracture measurement 3D fracture measurement |
| url | https://www.mdpi.com/2379-139X/9/2/47 |
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