The Association of Same-Day CT Scan with Post-Operative Outcomes in Isolated Orbital Fracture Repair.

Abstract

During isolated orbital fracture reconstruction, the use of intraoperative and/or same-day computed tomography (CT) scans has been debated due to potential effects on patient outcomes. Previous research in this field has been limited by small sample sizes. This retrospective study, which drew from IBM MarketScan Commercial and Medicare Supplemental research databases, examined patients who underwent isolated orbital reconstruction from 1/1/2012 to 12/31/2018, aiming to ascertain whether same-day CT scans could decrease negative postoperative outcomes. Among the 5023 participants, the average age was 37 (SD of 16) years and 63% were male. The data revealed that 16.2% (815 of 5023) had a same-day CT. Those who underwent a same-day CT scan exhibited reduced odds of post-operative enophthalmos (aOR: 0.269 [95% CI, 0.167-0.433]) and diplopia (aOR, 0.670 [95% CI, 0.495-906]). Contrarily, these patients also displayed a heightened rate of revision surgeries (aOR: 2.721, [95% CI, 1.893-3.912]). In summary, while same-day CT scans during orbital fracture repair seem beneficial in diminishing certain post-operative complications, they are also associated with an increased likelihood of subsequent surgical revisions.