Improving the Treatment Outcome of Naso-Orbito-Ethmoido-Maxillary Fractures Using Virtual Three-Dimensional Anthropometric Data

Andrei-Mihail Roșu, Daniela Șulea, Geanina Bandol, Bogdan Mihail Cobzeanu (), Liliana Moisii (), Florentina Severin, Luiza-Maria Cobzeanu, Dragoș Negru, Oana Cristina Roșu, Dragoș Octavian Palade, Victor Vlad Costan and Mihail Dan Cobzeanu
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Andrei-Mihail Roșu: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Daniela Șulea: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Geanina Bandol: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Bogdan Mihail Cobzeanu: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Liliana Moisii: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Florentina Severin: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Luiza-Maria Cobzeanu: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Dragoș Negru: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Oana Cristina Roșu: Department of Pneumology, Emergency Clinical County Hospital, 730006 Vaslui, Romania
Dragoș Octavian Palade: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Victor Vlad Costan: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania
Mihail Dan Cobzeanu: Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iași, Romania

IJERPH, 2022, vol. 19, issue 16, 1-10

Abstract: Background: Naso-orbito-ethmoido-maxillary (NOEM) fractures are usually the result of a high or moderate intensity impact to the upper midface. These types of fractures are difficult to treat and are frequently misdiagnosed. Craniometric analysis can be of real aid in the treatment of NOEM complex fractures by establishing midfacial proportions. Aim: This study aims to establish the distances between selected anthropometric points and midfacial proportions found in the adult Caucasian population and to determine if any differences exist between genders. Methodology: Measurements between anthropometric points, nasion (N), dacryon (D), infraorbital foramen (IOF), frontomalare orbitale (FMO), rhinion (Rhi) and porion (Po), were made on 3D models obtained using patients’ CT exams. Results: Significant differences were found between genders for the orbital dimensions represented by N–FMO ( p = 0.000), N–IOF ( p = 0.000), Rhi–FMO ( p = 0.000), Rhi–IOF ( p = 0.000), nose bridge width N–D ( p = 0.001), Rhi–D ( p = 0.016), D–D ( p = 0.038) and the projection of the nose evaluated by Rhi–Po ( p = 0.000), N–Po ( p = 0.000), while a t -test showed that there are no significant differences between males and females for the N–Rhi ( p = 0.254). Conclusions: The values of these measurements can be utilized during skeletal reconstruction after NOEM fractures, especially for bilateral comminuted fractures where no points of comparison are available.

Keywords: NOEM fracture; trauma; midface proportions; 3D (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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