Evaluation of the Relationship Between the Pattern of Midfacial Fractures and Amaurosis in Patients With Facial Trauma

• Published in: Journal of oral and maxillofacial surgery Vol. 71; no. 6; pp. 1059 - 1062
• Main Authors: Mehravaran, Reza, Akbarian, Golsa, Nezhad, Cyrus Mohammadi, Gheisari, Rasool, Ziaei, Mehdi, Zadeh, Fatemeh Gorji
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2013
• Subjects: Blindness - etiology; Chi-Square Distribution; Cross-Sectional Studies; Facial Bones - injuries; Facial Injuries - complications; Humans; Maxillary Fractures - complications; Nasal Bone - injuries; Orbital Fractures - complications; Skull Fractures - complications; Statistics, Nonparametric; Surgery; Zygomatic Fractures - complications
• ISSN: 0278-2391; 1531-5053; 1531-5053
• DOI: 10.1016/j.joms.2013.01.007

To evaluate the relation between patterns and numbers of midfacial bone fracture patterns and amaurosis in traumatized patients. This is a cross-sectional study of traumatized patients with midfacial fractures who presented to Shahid Rajaee and Chamran hospitals (Shiraz, Iran) from 2010 through 2011. The predictor variable was midfacial fractures and the outcome variable was amaurosis. P < .05 was considered statistically significant. The study was composed of 112 subjects. Prevalence of amaurosis was 6.25% (7 of 112). Le Fort III fracture was the only fracture pattern that had a significant association with amaurosis (P = .004). Nasoorbitoethmoid fracture was the second most correlative pattern, although this relation was not statistically significant. This study showed a meaningful relation between Le Fort III fractures and amaurosis in patients with facial trauma. There was also a high prevalence of nasoorbitoethmoid fracture in blinded patients.