RESUMO
Orbital fractures are one of the commonest injuries in mid-face trauma and can lead to significant functional and cosmetic defects. This study was aimed at analyzing the pattern of orbital fractures at 2 referral centers in Nairobi. It was a descriptive prospective hospital-based study of the demographics, etiology, clinico-radiological features, and management modalities among patients presenting with orbital fractures at the University of Nairobi Dental Hospital and Kenyatta National Referral Hospital in Nairobi, Kenya. A total of 60 patients (52 males, 8 females; Pâ<0.05) with confirmed orbital fractures were recruited during the 6-months study period. Orbital fractures occurred most frequently in the 21 to 40-year-old age group (80%, P<0.05). The principal etiological factors were motor cycle crashes; 30%, interpersonal violence 23.3%, public vehicle crushes 20%, private vehicle crushes; 10%, injury from flying objects 10% and falls 8.3%. The most commonly affected anatomical sites were the floor (75%), the lateral wall (71.7%), infra-orbital rim (66.7%), zygomatico-frontal suture (63.3%). There were 5 (8.3%) cases of total blindnessThe impure orbital fractures that involve the satellite bones especially the zygomatic complex predominate.
Assuntos
Fraturas Orbitárias/diagnóstico , Fraturas Orbitárias/etiologia , Acidentes por Quedas , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Quênia , Masculino , Pessoa de Meia-Idade , Fraturas Orbitárias/cirurgia , Estudos Prospectivos , Radiografia , Encaminhamento e Consulta , Violência , Adulto JovemRESUMO
PURPOSE: To describe the pattern of presentation and management of human lip bites. PATIENTS AND METHODS: Data on patients who presented with human lip bites between 2005 and 2007 were recorded. RESULTS: There were 6 men and 4 women whose ages ranged from 25 to 60 years with varying degrees of lip loss that occurred in different circumstances. Reconstruction using local flaps was carried out in various stages to achieve satisfactory esthetic and functional outcomes. CONCLUSIONS: Human lip bites can be repaired at any time of presentation using local flaps with acceptable results. Wound infection is not a major issue following these injuries.
