안와골절 환자의 수술시행 여부에 영향을 주는 인자에 대한 고찰 = Factors Associated with Decision toOperate in Orbital Fractures

다국어 초록 (Multilingual Abstract)

Purpose: This study was performed to evaluate factors
affecting the decision to operate in orbital fracture patients.
Methods: This study included 396 orbital fracture patients
who visited an urban tertiary teaching hospital emergency
room from January 1, 2002 to December 31, 2005. We
reviewed medical records of the patients. Data collected
included a patient’s sex, age, mechanism of trauma, wall
fractures, associated other facial bone fracture, visual disturbance
and ocular motility disturbance. The Chi-square
test, t-test were applied in order to evaluate the factors
associated with the decision to operate in orbital fracture
cases. Multinomial logistic regression was applied to those
factors which achieved significance in Chi-square test.
Results: As seen in other studies, orbital fractures were frequent
in young males ages 10 through 40. The most common
cause of orbital fractures was violence (41.0%). In the
Chi-square test, medial, lateral and inferior wall fractures;
skull vault fracture; nasal septum fracture; diplopia; ocular
motor dysfunction; and fractures involving more than two
walls were found to be statistically significant in the decision
to operate compared to other factors. Diplopia, lateral wall
fracture, ocular motor dysfunction, skull vault fracture, and
inferior wall fracture were confirmed by multinominal logistic
regression analysis as positive predictors of a decision to
operate in orbital fracture.
Conclusion: Orbital wall fracture patient with diplopia, lateral
or inferior wall fracture, ocular motor dysfunction, and
skull vault fracture are likely to result in surgical intervention.

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