Riekert, Maximilian, Schick, Volker C., Schumacher, Laura, Zoeller, Joachim E., Kreppel, Matthias and Schick, Tina (2021). Volumetric Analysis and Clinical Outcome in 54 Patients with Retrobulbar Hematoma. J. Oral Maxillofac. Surg., 79 (9). S. 1914 - 1921. PHILADELPHIA: W B SAUNDERS CO-ELSEVIER INC. ISSN 1531-5053
Full text not available from this repository.Abstract
Purpose: Retrobulbar hematoma (RBH) is a rare but serious vision threatening emergency. We analyze the relationship between hematoma volume, visual impairment and outcome. Methods: Fifty-four patients with RBH receiving orbital decompression were retrospectively included. Volumetric analysis of RBH was performed by semi-automatic segmentation based on pre-operative CT scans using ITK-SNAP software. Best corrected visual acuity (BCVA) measurements were obtained and correlated in 2 groups (no light perception (NLP), severe visual impairment) with the hematoma volume. Results: NLP was documented preoperatively in 5/28 and postoperatively in 9/43 patients. Preoperative NLP was significantly associated with a larger hematoma volume (P = .03) and higher hematoma/ orbital volume ratio (P = .03). Postoperative severe visual impairment showed significant associations with a larger hematoma volume (P = .02) as well as higher hematoma/orbital volume ratio (P = .02). Conclusion: Eyes with severe visual impairment and large hematoma volumes preoperatively are at high risk of permanent vision loss. Hematoma volume calculation might represent an additional prognos- tic parameter for visual outcome after RBH. (C) 2021 The American Association of Oral and Maxillofacial Surgeons.
Item Type: | Journal Article | ||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-574803 | ||||||||||||||||||||||||||||
DOI: | 10.1016/j.joms.2021.05.004 | ||||||||||||||||||||||||||||
Journal or Publication Title: | J. Oral Maxillofac. Surg. | ||||||||||||||||||||||||||||
Volume: | 79 | ||||||||||||||||||||||||||||
Number: | 9 | ||||||||||||||||||||||||||||
Page Range: | S. 1914 - 1921 | ||||||||||||||||||||||||||||
Date: | 2021 | ||||||||||||||||||||||||||||
Publisher: | W B SAUNDERS CO-ELSEVIER INC | ||||||||||||||||||||||||||||
Place of Publication: | PHILADELPHIA | ||||||||||||||||||||||||||||
ISSN: | 1531-5053 | ||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/57480 |
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