Evaluation of Complications of Midface Fracture Including the Orbital Floor

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2109-S2111. doi: 10.4103/jpbs.jpbs_75_24. Epub 2024 May 13.

Abstract

Background: Choosing an appropriate course of treatment for midface fracture can be challenging due to the variable presentations of midfacial fractures and concurrent orbital floor injuries.

Objectives: To evaluate complications of midface fracture including the orbital floor.

Materials and methods: It was a cross-sectional study carried out on 456 patients diagnosed with midface fracture, including the orbital floor, clinically and radiographically. The computed tomography radiograph of each study participant was evaluated. There was a thorough clinical assessment of each study participant.

Results: There were complications like laceration (47.3%), hematoma (54.2%), infraorbital nerve paraesthesia (13.05%), Contusio bulbi (13.30%), and diplopia (13.35%). No complications were observed in 8.25% of study participants. The most common complication was laceration.

Conclusion: The eyeball, orbit, soft tissues, and surrounding structures should be precisely examined clinically and radiologically in midface fractures.

Keywords: Complications; midface fracture; orbital floor.