Acil serviste orbital yaralanmanın değerlendirilmesi

Abstract

Amaç: Orbital yaralanma acil serviste (AS) önemli başvuru nedenlerindendir. Çalışmanın amacı AS’e başvuran orbital yaralanması olan hastaların klinik ve radyolojik bulgularının değerlendirmektir. Method: AS’e orbital yaralanma nedeni ile başvurmuş ve bilgisayarlı tomografisi yapılmış olan hastaların yaşı, cinsiyeti, travma tipi, travma lokalizasyonu, ek travma yerlerinin varlığı (varsa), yaralanan göz, yaralanma nedeni ve yaralanma lokalizasyonu değerlendirildi. Sonuç: 314 hastanın yaş ortalaması 46.54±18.23 yıl (18-79) idi. Hastaların 217 (%69.1)’u erkek idi. Hastaların 202 (%64.3)’ünün travma tipi künt idi. 102 (%32.5)’inin trafik kazası nedeniyle yaralandığı saptandı. Hastaların yaralanma lokalizasyonlarının dağılımlarında, kemik kırığı 202 (%64.3) hastada vardı. Künt yaralanması olan hastalar daha yaşlı idi (p<0.001). Yüksekten ve yer seviyesinden düşme olan hastaların yaşları diğer yaralanmalara göre daha yüksek idi (p<0.001, p<0.001). Ayrıca trafik kazası nedeni ile gelen hastaların yaşları da ateşli silah yaralanması olan hastalara göre daha yüksek idi (p<0.05). Kadınlarda trafik kazaları ve yer seviyesinde düşme daha fazla iken, erkeklerde ateşli silah yaralanmaları daha fazla idi (p<0.001, p<0.001, p<0.001 sırası ile). Erkeklerde ön kamara yaralanması daha fazla idi (p<0.001) Tartışma: Hastaların yaşlarına göre orbital yaralanmanın tipi, nedenleri, cinsiyetlerine göre yaralanma bulguları değişiklik göstermektedir.

Keywords

• Orbital Yaralanma
• ; Acil Servis
• Bilgisayarlı Tomografi

Assessment of orbital injury in the emergency department

Abstract

Aims: Orbital injury is a significant clinical presentation in the emergency department (ED). This study aims to evaluate the clinical and radiological findings in patients presenting to the ED with orbital injury. Methods: For patients who presented to the ED due to orbital injuries and underwent computed tomography scanning, data were recorded on age, gender, type of trauma, the presence of additional trauma locations (if any), the injured eye, the cause of injury, and the specific location of the injury. Results: 314 patients were included in the study, with a mean age of 46.54±18.23 years (range: 18–79). Among these, 217 patients (69.1%) were male. Blunt trauma was observed in 202 patients (64.3%), and 102 patients (32.5%) sustained injuries as a result of road traffic accidents. Analysis of injury localization revealed that bone injuries were present in 202 patients (64.3%). Patients who experienced blunt trauma were significantly older (p<0.001). Individuals who suffered from falls from height and falls from the ground had higher mean ages compared to those with other injury types (p<0.001 for both comparisons). Patients involved in road traffic accidents were also found to be older than those with gunshot injuries (p<0.05). A gender specific analysis indicated that, among females, road traffic accidents and falls from the ground were more prevalent, whereas males more frequently sustained gunshot injuries (p<0.001, p<0.001, and p<0.001, respectively). Additionally, anterior chamber injuries were significantly more common in male patients (p<0.001). Conclusion: The analysis indicates that the types and etiologies of orbital injury vary according to the patients' ages, while the patterns of injury differ based on gender.

Keywords

• Orbital injury
• emergency department
• computed tomography

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