Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Taxis, Juergen, Ungerboeck, Lena, Gehrking, Mika R., Motel, Constantin, Wurm, Matthias, Eckert, Alexander W., Spanier, Gerrit, Nieberle, Felix, Platz Batista da Silva, Natascha, Ludwig, Nils, Meier, Johannes K., Ettl, Tobias, Reichert, Torsten E., Spoerl, Steffen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037578/
https://www.ncbi.nlm.nih.gov/pubmed/36961006
http://dx.doi.org/10.3390/tomography9020047
_version_ 1784911910835060736
author Taxis, Juergen
Ungerboeck, Lena
Gehrking, Mika R.
Motel, Constantin
Wurm, Matthias
Eckert, Alexander W.
Spanier, Gerrit
Nieberle, Felix
Platz Batista da Silva, Natascha
Ludwig, Nils
Meier, Johannes K.
Ettl, Tobias
Reichert, Torsten E.
Spoerl, Steffen
author_facet Taxis, Juergen
Ungerboeck, Lena
Gehrking, Mika R.
Motel, Constantin
Wurm, Matthias
Eckert, Alexander W.
Spanier, Gerrit
Nieberle, Felix
Platz Batista da Silva, Natascha
Ludwig, Nils
Meier, Johannes K.
Ettl, Tobias
Reichert, Torsten E.
Spoerl, Steffen
author_sort Taxis, Juergen
collection PubMed
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(2), whereas the 3D measurement showed fracture areas with a significantly larger average value of 374.16 mm(2) (p < 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.
format Online
Article
Text
id pubmed-10037578
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100375782023-03-25 Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches Taxis, Juergen Ungerboeck, Lena Gehrking, Mika R. Motel, Constantin Wurm, Matthias Eckert, Alexander W. Spanier, Gerrit Nieberle, Felix Platz Batista da Silva, Natascha Ludwig, Nils Meier, Johannes K. Ettl, Tobias Reichert, Torsten E. Spoerl, Steffen Tomography Article 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(2), whereas the 3D measurement showed fracture areas with a significantly larger average value of 374.16 mm(2) (p < 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. MDPI 2023-03-05 /pmc/articles/PMC10037578/ /pubmed/36961006 http://dx.doi.org/10.3390/tomography9020047 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Taxis, Juergen
Ungerboeck, Lena
Gehrking, Mika R.
Motel, Constantin
Wurm, Matthias
Eckert, Alexander W.
Spanier, Gerrit
Nieberle, Felix
Platz Batista da Silva, Natascha
Ludwig, Nils
Meier, Johannes K.
Ettl, Tobias
Reichert, Torsten E.
Spoerl, Steffen
Two-Dimensional Post-Traumatic Measurements of Orbital Floor Blowout Fractures Underestimate Defect Sizes Compared to Three-Dimensional Approaches
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037578/
https://www.ncbi.nlm.nih.gov/pubmed/36961006
http://dx.doi.org/10.3390/tomography9020047
work_keys_str_mv AT taxisjuergen twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT ungerboecklena twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT gehrkingmikar twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT motelconstantin twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT wurmmatthias twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT eckertalexanderw twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT spaniergerrit twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT nieberlefelix twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT platzbatistadasilvanatascha twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT ludwignils twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT meierjohannesk twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT ettltobias twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT reicherttorstene twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches
AT spoerlsteffen twodimensionalposttraumaticmeasurementsoforbitalfloorblowoutfracturesunderestimatedefectsizescomparedtothreedimensionalapproaches