{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:20:35Z","timestamp":1760059235905,"version":"build-2065373602"},"reference-count":40,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"ChM Sp. z o.o."},{"name":"Medical University of Lodz"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Orbital fractures are a very serious problem due to the close location of the eyeball and a direct path to brain injuries, which is associated with serious consequences. This study aims to assess the usefulness of the Orbital Destruction Intensity (ODI) scale. Additionally, this article includes elements of an epidemiological study. Methods: A retrospective study of 160 patients admitted to the Department of Maxillofacial Surgery in \u0141\u00f3d\u017a (Poland) between January 2021 and June 2024 was conducted. In this study, general patient information (gender, age), details about the injuries (cause, affected orbit, accompanying symptoms), diagnosis (ODI scale, pathological classification), and treatment were assessed. Analysis of the distribution of features and regression analysis was performed in the case of quantitative data. To compare the assessment of the impact of a categorical variable on a quantitative variable, the Kruskal\u2013Wallis test was used. A p-value of less than 0.05 was considered statistically significant. Results: The main cause of the accident was assault, which accounted for 39% of cases. An X-ray examination showed that patients had an average ODI score of 2.92 \u00b1 1.69. Patients with low ODI scores mostly had isolated fractures of the orbital floor. As ODI scores increased, zygomaticomaxillary complex (ZMCO) fractures became more common as an additional fracture (p &lt; 0.05). For patients with low ODI scores, treatment generally involves reconstructing the orbital wall with titanium mesh. For those with higher ODI scores, treatment may include microplate osteosynthesis or a combination of both methods (p &lt; 0.05). Conclusions: A correlation was observed between the diagnosis based on ODI, anatomical classification, and the treatment provided. This relationship is related to the nature of the ODI scale, as, when the severity of the injury increases, additional anatomical structures (walls or rims of the orbit) are included.<\/jats:p>","DOI":"10.3390\/jcm14113826","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T09:47:34Z","timestamp":1748512054000},"page":"3826","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Orbital Destruction Intensity Classification\u2014An Easy-to-Use, Numerical Scale for Assessing the Severity of Orbital Fractures"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6523-328X","authenticated-orcid":false,"given":"Kacper","family":"Galant","sequence":"first","affiliation":[{"name":"Student Scientific Club of Maxillofacial Surgery, Medical University of Lodz, 113 \u017beromskiego Str., 90-549 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Kozakiewicz","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Medical University of Lodz, ul. \u017beromskiego 113, 90-459 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4416-5893","authenticated-orcid":false,"given":"Agata","family":"Ciosek","sequence":"additional","affiliation":[{"name":"Student Scientific Club of Maxillofacial Surgery, Medical University of Lodz, 113 \u017beromskiego Str., 90-549 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Bogusiak","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Medical University of Lodz, ul. \u017beromskiego 113, 90-459 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izabela","family":"Gabryelczak","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Medical University of Lodz, ul. \u017beromskiego 113, 90-459 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,29]]},"reference":[{"doi-asserted-by":"crossref","unstructured":"Malla, A., Hassan, B., Er, S., Liang, F., Ptak, T., Manson, P.N., and Grant, M.P. (2024). Traumatic Brain Injury and Its Association with Orbital Fracture Characteristics and Repair. J. Craniofacial Surg.","key":"ref_1","DOI":"10.1097\/SCS.0000000000010456"},{"doi-asserted-by":"crossref","unstructured":"Bettschen, D., Tsichlaki, D., Chatzimichail, E., Klukowska-R\u00f6tzler, J., M\u00fcller, M., Sauter, T.C., Exadaktylos, A.K., Ziaka, M., Doulberis, M., and Burkhard, J.-P. (2024). Epidemiology of Maxillofacial Trauma in Elderly Patients Receiving Oral Anticoagulant or Antithrombotic Medication; a Swiss Retrospective Study. BMC Emerg. Med., 24.","key":"ref_2","DOI":"10.1186\/s12873-024-01039-1"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1007\/s10006-024-01236-z","article-title":"Orbital Fractures Treated in a University Hospital of Southern Italy: Epidemiology, Outcomes and Prognostic Factors Resulting from 538 Retrospectively Analyzed Cases","volume":"28","author":"Colangeli","year":"2024","journal-title":"Oral Maxillofac. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1177\/1943387520939032","article-title":"Orbital Implants in Orbital Fracture Reconstruction: A Ten-Year Series","volume":"14","author":"Seen","year":"2020","journal-title":"Craniomaxillofacial Trauma Reconstr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1177\/1943387520924515","article-title":"Review of Orbital Fractures in an Urban Level I Trauma Center","volume":"13","author":"Amin","year":"2020","journal-title":"Craniomaxillofacial Trauma Reconstr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.coms.2012.07.006","article-title":"Orbital Trauma","volume":"24","author":"Ellis","year":"2012","journal-title":"Oral Maxillofac. Surg. Clin. N. Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.emc.2018.09.012","article-title":"The Diagnosis and Management of Facial Bone Fractures","volume":"37","author":"Chukwulebe","year":"2018","journal-title":"Emerg. Med. Clin. N. Am."},{"doi-asserted-by":"crossref","unstructured":"Starck, E., Lusila, N., Suojanen, J., and Kormi, E. (2024). Are Age and Trauma Mechanism Associated with Volume Change in the Fractures of the Bony Orbit?. J. Clin. Med., 13.","key":"ref_8","DOI":"10.3390\/jcm13123618"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"161","DOI":"10.7181\/acfs.2024.00143","article-title":"Three-Dimensional Computer Navigation in the Reconstruction of Complex Unilateral Orbital Fractures: Evaluation and Review of Applications","volume":"25","author":"Saini","year":"2024","journal-title":"Arch. Craniofacial Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"104148","DOI":"10.1016\/j.amjoto.2023.104148","article-title":"Time-to-Operation Delays and in-Hospital Complications in Operative Facial Trauma: A National Analysis","volume":"45","author":"Sharma","year":"2023","journal-title":"Am. J. Otolaryngol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jcms.2010.03.007","article-title":"Treatment with Individual Orbital Wall Implants in Humans\u20141-Year Ophthalmologic Evaluation","volume":"39","author":"Kozakiewicz","year":"2010","journal-title":"J. Cranio-Maxillofac. Surg."},{"unstructured":"Samolczyk-Wanyura, D. (1989). Upper Facial Fractures. An Attempt of Classification. [Ph.D. Thesis, Warsaw Medical University]. (In Polish).","key":"ref_12"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"522","DOI":"10.3348\/kjr.2022.0966","article-title":"Importance of the Mechanism of Injury in Trauma Radiology Decision-Making","volume":"24","author":"Varma","year":"2023","journal-title":"Korean J. Radiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.oftal.2017.07.011","article-title":"Diplop\u00eda secundaria a fractura orbitaria en adultos","volume":"93","year":"2018","journal-title":"Arch. Soc. Espanola Oftalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"S91","DOI":"10.1097\/SAP.0000000000000726","article-title":"Surgical Timing and Fracture Type on the Outcome of Diplopia After Orbital Fracture Repair","volume":"76","author":"Yu","year":"2016","journal-title":"Ann. Plast. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"70","DOI":"10.5001\/omj.2009.18","article-title":"Functional Endoscopic Sinus Surgery: Indications and Complications in the Ophthalmic Field","volume":"24","author":"Wali","year":"2009","journal-title":"Oman Med. J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1097\/SCS.0000000000007418","article-title":"Outcomes in Orbital Floor Trauma: A Comparison of Isolated and Zygomaticomaxillary-Associated Fractures","volume":"32","author":"Prabhu","year":"2021","journal-title":"J. Craniofacial Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.joms.2020.09.034","article-title":"Orbital Blowout Fracture with Globe Displacement into the Maxillary Sinus: A Case Report and Literature Review","volume":"79","author":"Bastos","year":"2021","journal-title":"J. Oral. Maxillofac. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/BF02337832","article-title":"The role of orbital wall morphological properties and their supporting structures in the etiology of \u201cblow-out\u201d fractures","volume":"11","author":"Jo","year":"1989","journal-title":"Surg. Radiol. Anat."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.tjo.2015.12.002","article-title":"Etiology of orbital fractures at a level I trauma center in a large metropolitan city","volume":"6","author":"Chiang","year":"2016","journal-title":"Taiwan J. Ophthalmol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1097\/SCS.0000000000003416","article-title":"Anatomical Study of the Infraorbital Nerve and Surrounding Structures for the Surgery of Orbital Floor Fractures","volume":"28","author":"Nam","year":"2017","journal-title":"J. Craniofacial Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/S0161-6420(02)01057-6","article-title":"Clinical recommendations for repair of isolated orbital floor fractures","volume":"109","author":"Burnstine","year":"2002","journal-title":"Ophthalmology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1001\/archoto.2012.1815","article-title":"The Effectiveness of 1-Point Fixation for Zygomaticomaxillary Complex Fractures","volume":"138","author":"Kim","year":"2012","journal-title":"Arch. Otolaryngol.-Head Neck Surg."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1016\/j.joms.2021.02.011","article-title":"Minimally Invasive Treatment with Zygomatic Complex Fracture Reduction by Percutaneous Bone Hook Traction","volume":"79","author":"Chu","year":"2021","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/j.jcms.2019.03.008","article-title":"Analysis of the accuracy of a novel preformed osteosynthesis plate for the reduction and fixation of zygomaticomaxillary complex fractures","volume":"47","author":"Poxleitner","year":"2019","journal-title":"J. Cranio-Maxillofacial Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1097\/PRS.0b013e3182362a6d","article-title":"Ocular Injury, Visual Impairment, and Blindness Associated with Facial Fractures","volume":"129","author":"Magarakis","year":"2012","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1001\/archotol.1987.01860010085021","article-title":"Visual Loss due to Orbital Fracture: The Role of Early Reduction","volume":"113","author":"Lipkin","year":"1987","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.jaapos.2012.08.007","article-title":"Management of persistent diplopia after surgical repair of orbital fractures","volume":"16","author":"Loba","year":"2012","journal-title":"J. Am. Assoc. Pediatr. Ophthalmol. Strabismus"},{"key":"ref_29","first-page":"248","article-title":"Classifications and Theories of Orbital Fractures: A Review of Literature","volume":"10","author":"Chodankar","year":"2023","journal-title":"Med. Res. Chron."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1055\/s-0034-1389562","article-title":"The Comprehensive AOCMF Classification System: Orbital Fractures\u2014Level 3 Tutorial","volume":"7","author":"Kunz","year":"2014","journal-title":"Craniomaxillofacial Trauma Reconstr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1055\/s-0034-1389560","article-title":"The Comprehensive AOCMF Classification System: Midface Fractures\u2014Level 2 Tutorial","volume":"7","author":"Kunz","year":"2014","journal-title":"Craniomaxillofacial Trauma Reconstr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/00001665-199307000-00020","article-title":"Classification and Treatment of Zygomatic Fractures: A Review of 1025 Cases","volume":"4","author":"Zingg","year":"1993","journal-title":"J. Craniofacial Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1097\/SCS.0b013e3181e62e47","article-title":"Characteristics and Epidemiology of Zygomaticomaxillary Complex Fractures","volume":"21","author":"Bogusiak","year":"2010","journal-title":"J. Craniofacial Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1177\/2732501620975842","article-title":"A Novel Classification Method of Zygomaticomaxillary Complex Fractures by Suture Comminution to Better Predict Clinical Outcomes","volume":"1","author":"Prabhu","year":"2020","journal-title":"FACE"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.ijom.2006.11.002","article-title":"Reconstruction of orbital wall defects: Critical review of 72 patients","volume":"36","author":"Aeppli","year":"2007","journal-title":"Int. J. Oral Maxillofac. Surg."},{"unstructured":"Hohman, M.H., Patel, B.C., and Waseem, M. (2025). Le Fort Fractures. StatPearls, StatPearls Publishing.","key":"ref_36"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1097\/SAP.0000000000002651","article-title":"Le Fort Fractures with Maxillary Immobility: Classification and the Moment Concept to Rationalize Optimal Surgical Treatment","volume":"86","author":"Liao","year":"2021","journal-title":"Ann. Plast. Surg."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1007\/s11547-015-0561-x","article-title":"Errors and Malpractice Lawsuits in Radiology: What the Radiologist Needs to Know","volume":"120","author":"Frati","year":"2015","journal-title":"Radiol. Med."},{"doi-asserted-by":"crossref","unstructured":"Pham, T.D., Holmes, S.B., and Coulthard, P. (2023). A Review on Artificial Intelligence for the Diagnosis of Fractures in Facial Trauma Imaging. Front. Artif. Intell., 6.","key":"ref_39","DOI":"10.3389\/frai.2023.1278529"},{"key":"ref_40","first-page":"e75630","article-title":"Bibliometric Analysis of the Role of Artificial Intelligence in Detecting Maxillofacial Fractures","volume":"16","author":"Babu","year":"2024","journal-title":"Cureus"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/11\/3826\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:43:11Z","timestamp":1760031791000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/11\/3826"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,29]]},"references-count":40,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["jcm14113826"],"URL":"https:\/\/doi.org\/10.3390\/jcm14113826","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2025,5,29]]}}}