The Association of Same-Day CT Scan with Postoperative Outcomes in Isolated Orbital Fracture Repair

Kwasi Enin; Cole Pavelchek; Yupeng Liu; Sebastian Sciegienka; Emily Spataro

doi:10.1055/a-2216-5015

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2024; 40(05): 610-614
DOI: 10.1055/a-2216-5015

Original Research

The Association of Same-Day CT Scan with Postoperative Outcomes in Isolated Orbital Fracture Repair

Kwasi Enin

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri

,

Cole Pavelchek

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri

,

Yupeng Liu

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri

,

Sebastian Sciegienka

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri

,

Emily Spataro

¹Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri

› Author Affiliations

Abstract

The potential benefits to surgical outcomes of intraoperative and/or same-day computed tomography (CT) during isolated orbital fracture reconstruction are debatable, and previous research on this topic is limited by small sample size. This retrospective IBM MarketScan Commercial and Medicare Supplemental research database study examined patients undergoing isolated orbital reconstruction from January 1, 2012 to December 31, 2018, to assess whether same-day CT affected postoperative outcomes. The average age of the 5,023 participants was 37 (standard deviation [SD]: 16) years and 63% were males. The data revealed that 16.2% (815 of 5,023) patients underwent a same-day CT. Those who underwent a same-day CT scan exhibited reduced odds of postoperative enophthalmos (adjusted odds ratio [aOR]: 0.269; 95% confidence interval [CI]: 0.167–0.433) and diplopia (aOR: 0.670; 95% CI: 0.495–906). Interestingly, these patients also displayed a higher rate of revision surgeries (aOR: 2.721; 95% CI: 1.893–3.912). In summary, while same-day CT scans diminish certain postoperative complications of orbital fracture repair, they are also associated with an increased likelihood of subsequent surgical revision.

Keywords

orbital fracture repair - outcomes - computed tomography

Full Text

References

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Supplementary Material

Supplementary Material