Quantitative assessment of bony orbital volume symmetry: CT analysis in the uninjured caucasian population. Issue 7 (September 2022)

• Record Type: Journal Article
• Authors: Walker, Edward T.; Lightfoot, Edward; Walshaw, Emma G.; Taylor, Richard; Douglas, James; Carter, Lachlan M.; Parmar, Jiten D.
• Is Part Of: British journal of oral and maxillofacial surgery. Volume 60:Issue 7(2022)
• Page Start: 945
• Page End: 950
• Publication Date: 2022-09
• Subjects: Orbital volume -- orbital reconstruction -- custom orbital reconstruction -- preformed orbital reconstruction -- orbital asymmetry -- maxillofacial trauma -- orbital trauma -- 3D reconstruction of orbit -- orbital floor fracture; Mouth -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Dentistry, Operative -- Periodicals; Face -- surgery -- Periodicals; Mouth -- surgery -- Periodicals; Maxilla -- surgery -- Periodicals; Surgery, Oral -- Periodicals; Oral Surgical Procedures -- Periodicals; Dentistry, Operative -- Periodicals; Bouche -- Chirurgie -- Périodiques; Maxillaire supérieur -- Chirurgie -- Périodiques; Face -- Chirurgie -- Périodiques; Chirurgie dentaire -- Périodiques; Dentistry, Operative; Face -- Surgery; Maxilla -- Surgery; Mouth -- Surgery; Surgery, Plastic; Electronic journals; Periodicals; 617.52059
• DOI: 10.1016/j.bjoms.2022.02.002
• Languages: English
• ISSNs: 0266-4356

Abstract

Abstract: There is a surprising lack of evidence documenting the volumetric symmetry of the bony orbit. This paper establishes reference values for orbital volume (OV) and symmetry in the 25 - 40 year old caucasian population. Secondarily, this paper sets a landmark for the tolerances in OV that can be expected when reconstructing the bony defects which may occur from trauma. A standardised method of quantitative OV measurement was developed using CT sinus examinations acquired for indications unrelated to orbital trauma. Sex, ethnicity, age, right and left OV were recorded. Data for 100 patients was obtained (50 male, 50 female). Mean left OV was 23.1cm 3 and mean right OV was 23.3cm 3 . Left and right OV were strongly positively correlated (correlation coefficient: 0.96). Mean female OV was 21.6cm 3 and mean male OV was 24.8cm 3 . On average, male OV is 3.2cm 3 larger than female OV. The mean difference between left and right OV was 0.5cm 3 in females and 0.6cm 3 in males. The intra-class coefficient score between the two assessors was 0.973 (excellent). There is strong positive correlation between left and right OV in this study population. Previous work suggests that orbital volume loss less than 1cm 3 would not lead to significant clinical symptoms of orbital fracture. When orbital reconstruction is undertaken, this study suggests that a volume symmetry difference of <0.5cm 3 in females and <0.6cm 3 in males would be consistent with the variation seen in the study population of uninjured caucasian 25-40 year olds and is therefore a reasonable goal of surgical management.