TODENTJ-25-03-2019_TODENTJ-11-546 1553507170 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 10 31 2017 11 1 Michele Runci Francesco Saverio De Ponte Roberto Falzea Ennio Bramanti Floriana Lauritano Gabriele Cervino Fausto Famà Alessandro Calvo Salvatore Crimi Silvia Rapisarda Marco Cicciù Background: Orbital fractures are classified as diseases usually related to common midface trauma. It represents the most challenging treatment due to the complex anatomy, physiology, and aesthetic role. A midface trauma involves also the zygomatic complex and the nose, however the orbit fracture seems to be a more frequent disease due to its anatomical features. Objective: The purpose of this work is to retrospectively evaluate and record the frequency of the midfacial traumas and orbital fractures observed in the North Eastern Sicily. The results of the present data may be useful for the clinicians in order to recognize the kind of fracture just from the first general visit having a quick diagnosis and management. Methods: In the years between 2001 and 2016, about 1200 patients with midfacial trauma and about 100 patients involving the orbital floor have been evaluated. All those patients underwent the surgical fracture reduction and a CT scan follow up control at one month, three months, six months and one year. Results: Data showed high percentage of orbital floor, nose and mandibular body and ramus fractures; moreover the most frequent causes of fractures seem to be related to motor vehicle accident, followed by assaults, work and fall. Conclusion: The results have highlighted the changing trends in the causes of facial injuries, particularly the increasing incidence of assaults and the falling incidence of motor vehicle accidents in developed countries. The quick diagnosis and management proved fundamental for the successful treatment. Clinicians should be able to recognize the first symptoms in order to avoid possible complications. 10 31 2017 546 556 TODENTJ-11-546 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2017-05-24 2017-09-22 2017-10-18 2017-10-31 https://creativecommons.org/licenses/by/4.0/legalcode 10.2174/1874210601711010546 1553507170 https://opendentistryjournal.com/VOLUME/11/PAGE/546/ https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.pdf https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-546/TODENTJ-11-546.xml 10.1016/S1010-5182(88)80032-5 Güven O. 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