Articles Vol. 67 No. English Version No 1, 2026 02/06/2026

CLASSIFICATION OF ORBITAL DEFORMITIES DUE TO SEQUELAE OF MAXILLOFACIAL TRAUMA

Dinh Huy Giang1, Vu Ngoc Lam2
1 1. Ha Thanh General Hospital
2 2. Military Central Hospital 108
DOI: 10.52163/yhc.v67iE1.5226
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Abstract

Objective: To classify orbital deformities due to sequelae of maxillofacial trauma.

Methods: A descriptive cross-sectional study with analysis, combining retrospective and prospective components, was conducted in patients diagnosed with orbital deformities due to post-traumatic sequelae at Military Central Hospital 108 from September 2018 to August 2019.

Results: The study included 35 patients, with a mean interval since trauma of 5 years; 82.9% had previously undergone surgery after trauma. Regarding the classification of orbital deformities, the most common deformed bony rim was the inferior orbital rim (85.7%); the most common deformed bony wall was the inferior wall (77.1%); the most common deformed orbital quadrant was the inferomedial quarter (65.7%); grade 3 enophthalmos was the most frequent degree of enophthalmos (73.3%); and the most common orbital deformity-related manifestations were ocular asymmetry (48.6%), hypoglobus (40%), and ptosis/eyelid drooping (34.3%).

Conclusion: Post-traumatic orbital deformities most commonly involve the inferior orbital rim, inferior wall, and inferomedial quarter of the orbit. Grade 3 enophthalmos predominates among orbital deformities.

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