Article Sidebar

Published: 2026-06-02
Abstract Views: 25
DOI: https://doi.org/10.52163/yhc.v67iE1.5226
Issue
Vol. 67 No. English Version No 1, 2026
Section
Articles
How to Cite
Giang, D. H., & Lam, V. N. (2026). CLASSIFICATION OF ORBITAL DEFORMITIES DUE TO SEQUELAE OF MAXILLOFACIAL TRAUMA. Vietnam Journal of Community Medicine, 67(English Version No 1, 2026). https://doi.org/10.52163/yhc.v67iE1.5226

CLASSIFICATION OF ORBITAL DEFORMITIES DUE TO SEQUELAE OF MAXILLOFACIAL TRAUMA

Dinh Huy Giang1, Vu Ngoc Lam2
1 1. Ha Thanh General Hospital
2 2. Military Central Hospital 108

Main Article Content

Abstract

Objective: To classify orbital deformities due to sequelae of maxillofacial trauma.


Methods: A descriptive cross-sectional study with analysis, combining retrospective and prospective components, was conducted in patients diagnosed with orbital deformities due to post-traumatic sequelae at Military Central Hospital 108 from September 2018 to August 2019.


Results: The study included 35 patients, with a mean interval since trauma of 5 years; 82.9% had previously undergone surgery after trauma. Regarding the classification of orbital deformities, the most common deformed bony rim was the inferior orbital rim (85.7%); the most common deformed bony wall was the inferior wall (77.1%); the most common deformed orbital quadrant was the inferomedial quarter (65.7%); grade 3 enophthalmos was the most frequent degree of enophthalmos (73.3%); and the most common orbital deformity-related manifestations were ocular asymmetry (48.6%), hypoglobus (40%), and ptosis/eyelid drooping (34.3%).


Conclusion: Post-traumatic orbital deformities most commonly involve the inferior orbital rim, inferior wall, and inferomedial quarter of the orbit. Grade 3 enophthalmos predominates among orbital deformities.

Article Details

Keywords

orbital deformity, post-traumatic sequelae.

References

1. Ellis E., “Orbital trauma”, Oral and Maxillofacial Surgery Clinics of North America, . Oral Maxillofac Surg Clin North Am, 2014. 24(4): p. 629-648. DOI: 10.1016/j.coms.2012.07.006.
2. TESSIER P., Total osteotomy of the middle third of the face for faciostenosis or for sequelae of Le Fort III fractures. Plastic and Reconstructive Surgery, 1971. 48(6): p. 533-541.
3. Gruss J.S., Fronto-naso-orbital trauma. Clinics in Plastic Surgery, 1982. 9(4): p. 577-589. DOI: 10.1016/S0094-1298(20)31950-7.
4. Manson P.N., et al., Mechanisms of global support and posttraumatic enophthalmos: I. The anatomy of the ligament sling and its relation to intramuscular cone orbital fat. Plastic and reconstructive surgery, 1986. 77(2): p. 193-202. DOI: 10.1097/00006534-198602000-00004.
5. Phuong L.H., Epidemiological survey of maxillofacial trauma after one year of implementation of the mandatory helmet regulation, Collection of Scientific Research Works in Odonto-Stomatology. Medical Publishing, 2009: p. 105-110.
6. Ye L.-X., et al., Materials to facilitate orbital reconstruction and soft tissue filling in posttraumatic orbital deformaties. Plastic and Aesthetic Research, 2016. 3: p. 86-91. DOI: 10.20517/2347-9264.2015.122.