TY  - JOUR
PY  - 2004//
TI  - An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States Army Soldiers, 1980-2000
JO  - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
A1  - Shere, Jeffrey L.
A1  - Boole, Jason R.
A1  - Holtel, Michael R.
A1  - Amoroso, Paul J.
SP  - 164
EP  - 170
VL  - 130
IS  - 2
N2  - OBJECTIVE: We sought to present the epidemiology associated with 3599 midfacial and 1141 orbital blowout fractures. STUDY DESIGN AND SETTING: We conducted a multicenter, 20-year retrospective analysis of hospitalization data on U.S. Army active duty soldiers. RESULTS: Men composed 96% of the patients, with men aged 20 to 29 years the most affected. Of midfacial and blowout fractures, 54.8% and 70.2% occurred with concomitant injury, with 36.2% and 50.9% sustaining other facial fractures, respectively. Three hundred forty orbital blowout fractures (29.8%) had an associated eye injury. Common mechanisms included fighting and motor vehicle accidents. CONCLUSIONS: Young men comprised the most susceptible population, and assault was the predominant mechanism. A high incidence of concomitant injury in midfacial and orbital blowout fractures, particularly ocular and intracranial injury, emphasizes the importance of a thorough physical examination. SIGNIFICANCE: We report the results from one of the largest series of midfacial and orbital floor blowout fractures from a population that crosses urban, rural, and foreign boundaries.<p />  <p>Language: en</p>
LA  - en
SN  - 0194-5998
UR  - http://dx.doi.org/10.1016/j.otohns.2003.09.018
ID  - ref1
ER  -