Description
- Abstract:
- Nasoorbitoethmoid (NOE) fractures are common midface fractures that are often undiagnosed, resulting in incomplete reconstruction. We analyzed NOE fracture concomitance with zygoma fractures in order to better understand NOE fracture diagnosis and treatment tendencies. The plastic surgery facial trauma database at a level 1 trauma center was utilized to identify 339 eligible patients with zygoma fractures from 07/2011-03/2016. The incidence of concomitant NOE fractures was 30.6% (109/356). 0% of NOE fractures were mentioned in radiology notes, 1.8% in plastic surgery notes, and 8.3% in operative notes. 22.9% (25/109) of NOE fractures were surgically corrected. 44.9% (49/109) of all NOE fractures were minimally-displaced and clinically insignificant. Subset analysis of clinically significant (CS) NOE fractures yielded an incidence rate of 16.8% (60/356). Of these, 0% were mentioned in radiology notes, 9.1% in plastic surgery notes, and 20.4% in operative notes. 31.7% (19/60) of CS NOE fractures were surgically corrected. These findings suggest a high concomitance of NOE fractures with zygoma fractures as well as a tendency to under-document and under-treat NOE fractures. Radiologists should be trained in identifying NOE fractures. Clinicians treating patients with midface trauma should have a high suspicion for NOE injury
- Notes:
- Scholarly concentration: Non-Scholarly concentrator
- All rights reserved
Citation
Nissen, Nicholas, Hsieh, Sun, Rao, Vinay, et al.,
"Underdiagnosis of nasoorbitoethmoid fractures in patients with midface trauma"
(2017).
Warren Alpert Medical School Academic Symposium.
Brown Digital Repository. Brown University Library.
https://repository.library.brown.edu/studio/item/bdr:698094/
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Warren Alpert Medical School Academic Symposium
The Warren Alpert Medical School Academic Symposium is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Symposium …...