OBJECTIVES/HYPOTHESIS: Maxillofacial @entity130 frequently involves the bony orbit that surrounds the ocular globe. Concomitant @entity130 is a concern whenever orbit @entity130 occurs and in severe cases can occasionally result in @entity1018 . The mechanism of injury, physical exam findings, and radiographic imaging can provide useful information concerning the severity of the injury and concerns for @entity1018 . Using these three tools, it is hypothesized that the @entity1 's history, physical exam, and radiographic findings can identify high-risk maxillofacial @entity130 @entity1 with @entity4858 . Identification of high risk @entity1 who require comprehensive ophthalmologic evaluation may alter management and possibly preserve or restore vision. STUDY DESIGN: A retrospective clinical chart review was performed at a tertiary academic medical center. METHODS: Subjects were identified using the institutional @entity130 registry. Data collected included subject demographics, @entity1 medical records and notes, ophthalmologic testing, and radiographic imaging. The incidence of orbit @entity174 and @entity4858 associated with the mechanism of injury, physical exam findings, and radiographic imaging was determined. Statistical analysis was performed using a chi-square and Fisher exact test. RESULTS: In this study, 279 subjects with orbit @entity174 were identified and the incidence of @entity4858 was 27.6% (77 of 279). @entity130 was statistically associated with an increased risk of @entity4858 (P = 0.0340), with penetrating @entity130 being the most likely etiology. The physical exam findings of visual acuity and an afferent @entity2300 were statistically associated with @entity4858 (P = 0.0029 and 0.0001, respectively). Depth of orbit @entity174 on radiographic imaging was statistically associated with @entity4858 (P = 0.0024), with @entity174 extending to the posterior third of the orbit being most likely to have associated @entity4858 . CONCLUSION: Maxillofacial @entity130 @entity1 with orbit @entity174 and @entity4858 occur in more than one in four @entity1 . Comprehensive ophthalmologic evaluation is recommended for all @entity1 who sustain an orbit @entity174 . Subjects with a penetrating @entity130 mechanism of injury, physical exam findings of @entity227 and an afferent @entity2300 , and radiographic imaging demonstrating @entity174 depth involvement of the posterior orbit are at highest risk for @entity1018 and warrant specific concern for @entity4858 assessment. LEVEL OF EVIDENCE: IV. Laryngoscope, 126:S5-S11, 2016.

Orbit @entity174 : Identifying @entity1 factors indicating high risk for ocular and XXXX .

@entity1018 :: ('MESH:D054062', 'Disease') :: ['vision loss'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual acuity deficits'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity4858 :: ('MESH:D005131', 'Disease') :: ['concomitant ocular injury', 'ocular injury'] @entity2300 :: ('MESH:D011681', 'Disease') :: ['pupillary defect'] @entity130 :: ('MESH:D014947', 'Disease') :: ['globe injury', 'Mechanism of injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['periocular injury']
