rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2025-28-2-108-113dsnkzxrosped-1449Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESЛучевая диагностика орбитальной травмы у детейRadiologic diagnostics of the orbital trauma in childrenhttps://orcid.org/0009-0000-0467-6225ОчиловАмир РавшановичOchilovAmir R.

Мл. науч. сотр. ГБУЗ «НИИ неотложной детской хирургии и травматологии — Клиника доктора Рошаля» ДЗМ

e-mail: ochilovar@zdrav.mos.ru

Junior researcher, Clinical and Research Institute of Emergency Pediatric Surgery and Trauma — Dr. Roshal’s Clinic, Moscow, 119180, Russian Federation

e-mail: ochilovar@zdrav.mos.ru

ochilovar@zdrav.mos.ruhttps://orcid.org/0000-0002-6940-4535ТимофееваАнна ВячеславовнаTimofeevaAnna V.

Детский хирург ГБУЗ «НИИ  НДХиТ — Клиника доктора Рошаля» ДЗМ

e-mail: timofeevaav4@zdrav.mos.ru

timofeevaav4@zdrav.mos.ruhttps://orcid.org/0000-0002-3235-8854АхадовТолибджон АбдуллаевичAkhadovTolibdzhon A.

Доктор мед. наук, проф., руководитель отдела лучевых методов диагностики, ГБУЗ «НИИ НДХиТ — Клиника доктора Рошаля» ДЗМ

e-mail: akhadov@mail.ru

akhadov@mail.ruhttps://orcid.org/0000-0002-4627-9874УблинскийМаксим ВадимовичUblinskiyMaxim V.

Канд. биол. наук, вед. науч. сотр., «НИИ НДХиТ — Клиника доктора Рошаля» ДЗМ

e-mail: maxublinsk@mail.ru

maxublinsk@mail.ruГБУЗ «Научно-исследовательский институт неотложной детской хирургии и травматологии — Клиника доктора Рошаля» Департамента здравоохранения г. МосквыResearch Institute of Emergency Pediatric Surgery and Traumatology — Dr. Roshal’s Clinic202530042025282108113Copyright © Очилов А.Р., Тимофеева А.В., Ахадов Т.А., Ублинский М.В., 20252025Очилов А.Р., Тимофеева А.В., Ахадов Т.А., Ублинский М.В.Ochilov A.R., Timofeeva A.V., Akhadov T.A., Ublinskiy M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/1449Актуальность

Актуальность. Травмы головы и лица — одна из основных причин обращений за неотложной помощью у детей. Среди них особенно выделяются повреждения орбиты, в том числе переломы стенок орбиты. Цель — определить диагностическую значимость современных методов визуализации состояния орбит при тупой травме у детей. В обзоре использованы базы данных PubMed, Google Scholar, Medline, РИНЦ.

Экстренная и достоверная оценка повреждений орбиты и глазного яблока у детей крайне важна. Общие методы визуализации орбиты и глаза включают рентгенографию, ультразвуковое исследование (УЗИ), компьютерную (КТ) и магнитно-резонансную томографию (МРТ). УЗИ применимо при изолированной травме орбит в специализированных офтальмологических центрах, кроме случаев, когда есть подозрения на разрыв глазного яблока. С учётом низкой информативности и доступности КТ и рентгенография в настоящее время применяется редко. При острой травме орбиты любое подозрение на вероятность наличия инородного тела в орбите требует начальной оценки с помощью КТ для исключения металлического инородного тела. МРТ играет значимую роль в распознавании повреждения мягких тканей орбиты у детей, а также всех других внутричерепных повреждений, вызванных травмой. МРТ позволяет получать сложные данные визуализации, которые значительно расширяют диагностические возможности по сравнению с КТ, представляя радиологу и орбитальному хирургу больше информации. Специалисты должны быть осведомлены об этих возможностях МРТ, поскольку методы визуализации постоянно развиваются и полезны при диагностике и лечении повреждений орбиты, а также при планировании хирургических вмешательств у детей.

Участие авторов

Участие авторов: Очилов А.Р., Ахадов Т.А. — концепция и дизайн исследования; Очилов А.Р., Ахадов Т.А., Тимофеева А.В. — сбор и обработка материала, написание текста; Ахадов T.A., Ублинский М.В. — редактирование. Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Поступила 12

Поступила 12.02.2025Принята к печати 18.03.2025Опубликована 29.04.2025

Relevance

Relevance. Head and facial injuries are one of the main reasons for emergency care in children. Among all cases of blunt trauma to the skull and face, orbital damage, including fractures of the orbital walls, stands out in particular. The aim is to determine the diagnostic significance of modern methods for visualizing the state of the orbits in children with blunt trauma. The review uses PubMed, Google Scholar, Medline, and RSCI databases.

An urgent and reliable assessment of damage to the orbit and eyeball in children is extremely important. Common imaging techniques for the orbit and eye include radiography, ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI). Ultrasound is applicable for isolated injury of the orbit in specialized ophthalmological centers, except in cases where there is a suspicion of rupture of the eyeball. Due to the low information content and accessibility, CT and radiography are rarely used nowadays. In case of acute orbital trauma, any suspicion of the possibility of a foreign body in orbit requires an initial CT assessment to exclude a metallic foreign body. MRI plays a significant role in recognizing damage to the soft tissues of the orbit in children, as well as all other intracranial injuries caused by trauma. MRI allows comprehensive data that significantly expands diagnostic capabilities compared to CT, providing more information to the radiologist and the orbital surgeon. It is extremely important that specialists are aware of these imaging capabilities, as these techniques are constantly evolved and used in assessing and treating orbital injuries, as well as in planning surgical intervention in children.

Contribution

Contribution: Ochilov A.R., Akhadov T.A. — concept and design of the study; Ochilov A.R., Akhadov T.A., Timofeeva A.V. — collection and processing of the material, writing the text; Akhadov T.A., Ublinsky M.V. — editing the text. All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: February 12, 2025Accepted: March 18, 2025Published: April 29, 2025

обзордетитравма орбитыкомпьютерная томографиямагнитно-резонансная томографияreviewchildrenorbit injurycomputed tomographymagnetic resonance imagingReferencesPaek S.H., Jung J.H., Kwak Y.H., Kim D.K., Lee J.H., Jung J.Y., et al. Clinical decision rule to identify orbital wall fracture among children: retrospective derivation and validation study. Pediatr. Emerg. Care. 2020; 36(5): e280–4. https://doi.org/10.1097/PEC.0000000000001300Paek S.H., Jung J.H., Kwak Y.H., Kim D.K., Lee J.H., Jung J.Y., et al. Clinical decision rule to identify orbital wall fracture among children: retrospective derivation and validation study. Pediatr. Emerg. Care. 2020; 36(5): e280–4. https://doi.org/10.1097/PEC.0000000000001300Scolozzi P., Jacquier P., Courvoisier D.S. Can clinical findings predict orbital fractures and treatment decisions in patients with orbital trauma? Derivation of a simple clinical model. J. Craniofac. Surg. 2017; 28(7): e661–7. https://doi.org/10.1097/SCS.0000000000003823Scolozzi P., Jacquier P., Courvoisier D.S. Can clinical findings predict orbital fractures and treatment decisions in patients with orbital trauma? Derivation of a simple clinical model. J. Craniofac. Surg. 2017; 28(7): e661–7. https://doi.org/10.1097/SCS.0000000000003823Shah S.M., Shah M.A., Singh R., Rathod C., Khanna R. A prospective cohort study on the epidemiology of ocular trauma associated with closed-globe injuries in pediatric age group. Indian J. Ophthalmol. 2020; 68(3): 500–3. https://doi.org/10.4103/ijo.IJO_463_19Shah S.M., Shah M.A., Singh R., Rathod C., Khanna R. A prospective cohort study on the epidemiology of ocular trauma associated with closed-globe injuries in pediatric age group. Indian J. Ophthalmol. 2020; 68(3): 500–3. https://doi.org/10.4103/ijo.IJO_463_19Гундорова Р.А., Нероев В.В., Кашников В.В. Травмы глаза. М.: ГЕОТАР-Медиа; 2014. https://elibrary.ru/krhureGundorova R.A., Neroev V.V., Kashnikov V.V. Eye Injuries [Travmy Glaza]. Moscow: GEOTAR-Media; 2014. https://elibrary.ru/krhure (in Russian)Громакина Е.В., Саиджамолов К.М., Мозес В.Г., Тюнина Н.В., Мозес К.Б. Открытая травма глаза у детей: эпидемиология, предикторы неблагоприятного течения и исхода. Фундаментальная и клиническая медицина. 2021; 6(4): 132–41. https://doi.org/10.23946/2500-0764-2021-6-4-132-141 https://elibrary.ru/jpmmprGromakina E.V., Saidzhamolov K.M., Moses V.G., Tyunina N.V., Moses K.B. Оpen globe injury in children: epidemiology and predictors of an adverse outcome. Fundamentalnaya i klinicheskaya meditsina. 2021; 6(4): 132–41. https://doi.org/10.23946/2500-0764-2021-6-4-132-141 https://elibrary.ru/jpmmpr (in Russian)Jolly R., Arjunan M., Theodorou M., Dahlmann-Noor A.H. Eye injuries in children – incidence and outcomes: An observational study at a dedicated children’s eye casualty. Eur. J. Ophthalmol. 2019; 29(5): 499–503. https://doi.org/10.1177/1120672118803512Jolly R., Arjunan M., Theodorou M., Dahlmann-Noor A.H. Eye injuries in children – incidence and outcomes: An observational study at a dedicated children’s eye casualty. Eur. J. Ophthalmol. 2019; 29(5): 499–503. https://doi.org/10.1177/1120672118803512Петраевский А.В., Гндоян И.А., Тришкин К.С., Виноградов А.Р. Глазной травматизм в Российской Федерации. Вестник офтальмологии. 2018; 134(4): 80–3. https://doi.org/10.17116/oftal-ma201813404180 https://elibrary.ru/uxazqaPetrayevsky A.V., Gndoyan I.A., Trishkin K.S., Vinogradov A.R. Ocular traumatism in Russian Federation. Vestnik oftalmologii. 2018; 134(4): 80–3. https://doi.org/10.17116/oftal-ma201813404180 https://elibrary.ru/uxazqa (in Russian)Puodžiuvienė E., Jokūbauskienė G., Vieversytė M., Asselineau K. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. BMC Ophthalmol. 2018; 18(1): 10. https://doi.org/10.1186/s12886-018-0676-7Puodžiuvienė E., Jokūbauskienė G., Vieversytė M., Asselineau K. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. BMC Ophthalmol. 2018; 18(1): 10. https://doi.org/10.1186/s12886-018-0676-7Rêgo I.C.Q., Vilarinho S.M.M., Rodrigues C.K.F., Correia P.V.A.R., Junqueira J.L.C., Oliveira L.B. Oral and cranio-maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital. Dent. Traumatol. 2020; 36(2): 167–73. https://doi.org/10.1111/edt.12515Rêgo I.C.Q., Vilarinho S.M.M., Rodrigues C.K.F., Correia P.V.A.R., Junqueira J.L.C., Oliveira L.B. Oral and cranio-maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital. Dent. Traumatol. 2020; 36(2): 167–73. https://doi.org/10.1111/edt.12515Wusiman P., Maimaitituerxun B., Guli, Saimaiti A., Moming A. Epidemiology and pattern of oral and maxillofacial trauma. J. Craniofac. Surg. 2020; 31(5): 517–20. https://doi.org/10.1097/SCS.0000000000006719Wusiman P., Maimaitituerxun B., Guli, Saimaiti A., Moming A. Epidemiology and pattern of oral and maxillofacial trauma. J. Craniofac. Surg. 2020; 31(5): 517–20. https://doi.org/10.1097/SCS.0000000000006719Орлова Н.А., Гаврилова Т.В., Собянин Н.А. Характеристика травм органа зрения экстренно госпитализированных взрослых лиц Пермского края. Глаз. 2020; 22(3): 19–22. https://doi.org/10.33791/2222-4408-2020-3-19-22 https://elibrary.ru/vafywuOrlova N.A., Gavrilova T.V., Sobyanin N.A. Characteristics of eye injuries in urgently hospitalized adults in the Perm region. Glaz. 2020; 22(3): 19–22. https://doi.org/10.33791/2222-4408-2020-3-19-22 https://elibrary.ru/vafywu (in Russian)Kuhn F., Morris R., Witherspoon C.D., Heimann K., Jeffers J.B., Treister G.A. Standardized classification of ocular trauma. Ophthalmology. 1996; 103(2): 240–3. https://doi.org/10.1016/s0161-6420(96)30710-0Kuhn F., Morris R., Witherspoon C.D., Heimann K., Jeffers J.B., Treister G.A. Standardized classification of ocular trauma. Ophthalmology. 1996; 103(2): 240–3. https://doi.org/10.1016/s0161-6420(96)30710-0Neinstein R.M., Phillips J.H., Forrest C.R. Pediatric orbital floor trapdoor fractures: outcomes and CT-based morphologic assessment of the inferior rectus muscle. J. Plast. Reconstr. Aesthet. Surg. 2012; 65(7): 869–74. https://doi.org/10.1016/j.bjps.2012.02.004Neinstein R.M., Phillips J.H., Forrest C.R. Pediatric orbital floor trapdoor fractures: outcomes and CT-based morphologic assessment of the inferior rectus muscle. J. Plast. Reconstr. Aesthet. Surg. 2012; 65(7): 869–74. https://doi.org/10.1016/j.bjps.2012.02.004Allison J.R., Kearns A., Banks R.J. Predicting orbital fractures in head injury: a preliminary study of clinical findings. Emerg. Radiol. 2020; 27(1): 31–6. https://doi.org/10.1007/s10140-019-01720-0Allison J.R., Kearns A., Banks R.J. Predicting orbital fractures in head injury: a preliminary study of clinical findings. Emerg. Radiol. 2020; 27(1): 31–6. https://doi.org/10.1007/s10140-019-01720-0Miller A.F., Elman D.M., Aronson P.L., Kimia A.A., Neuman M.I. Epidemiology and predictors of orbital fractures in children. Pediatr. Emerg. Care. 2018; 34(1): 21–4. https://doi.org/10.1097/PEC.0000000000001306Miller A.F., Elman D.M., Aronson P.L., Kimia A.A., Neuman M.I. Epidemiology and predictors of orbital fractures in children. Pediatr. Emerg. Care. 2018; 34(1): 21–4. https://doi.org/10.1097/PEC.0000000000001306Дроздова Е.А., Бухарина Е.С., Сироткина И.А. Эпидемиология, классификация, клиника и диагностика переломов орбиты при тупой травме (обзор литературы). Практическая медицина. 2012; 59(4-2): 162–7. https://elibrary.ru/pchgozDrozdova E.A., Bukharina E.S., Sirotkina I.A. Epidemiology, classification, symptoms, diagnosis fractures orbit with blunt trauma. Prakticheskaya meditsina. 2012; 59(4-2): 162–7. https://elibrary.ru/pchgoz (in Russian)Голавский П.И., Пылков А.И., Городков Ж.Е., Штернис Т.А., Малков Н.В. Клинико-статистический анализ травматических повреждений челюстно-лицевой области в Кузбассе. Клиническая стоматология. 2021; 24(4): 114–21. https://doi.org/10.37988/1811-153X_2021_4_114 https://elibrary.ru/frgovfGolavskiy P.I., Pylkov A.I., Gorodkov Zh.E., Shternis T.A., Malkov N.V. Clinical and statistical analysis of maxillofacial trauma in Kuzbass. Klinicheskaya stomatologiya. 2021; 24(4): 114–21. https://doi.org/10.37988/1811-153X_2021_4_114 https://elibrary.ru/frgovf (in Russian)Santamaria J., Mehta A., Reed D., Blegen H., Bishop B., Davies B. Orbital roof fractures as an indicator for concomitant ocular injury. Graefes. Arch. Clin. Exp. Ophthalmol. 2019; 257(11): 2541–5. https://doi.org/10.1007/s00417-019-04455-3Santamaria J., Mehta A., Reed D., Blegen H., Bishop B., Davies B. Orbital roof fractures as an indicator for concomitant ocular injury. Graefes. Arch. Clin. Exp. Ophthalmol. 2019; 257(11): 2541–5. https://doi.org/10.1007/s00417-019-04455-3Nguyen B.N., Edwards M.J., Srivatsa S., Wakeman D., Calderon T., Lamoshi A., et al. Clinical and radiographic predictors of the need for facial CT in pediatric blunt trauma: a multi-institutional study. Trauma Surg. Acute Care Open. 2022; 7(1): e000899. https://doi.org/10.1136/tsaco-2022-000899Nguyen B.N., Edwards M.J., Srivatsa S., Wakeman D., Calderon T., Lamoshi A., et al. Clinical and radiographic predictors of the need for facial CT in pediatric blunt trauma: a multi-institutional study. Trauma Surg. Acute Care Open. 2022; 7(1): e000899. https://doi.org/10.1136/tsaco-2022-000899Takahashi Y., Nakakura S., Sabundayo M.S., Kitaguchi Y., Miyazaki H., Mito H., et al. Differences in common orbital blowout fracture sites by age. Plast. Reconstr. Surg. 2018; 141(6): 893–901. https://doi.org/10.1097/PRS.0000000000004397Takahashi Y., Nakakura S., Sabundayo M.S., Kitaguchi Y., Miyazaki H., Mito H., et al. Differences in common orbital blowout fracture sites by age. Plast. Reconstr. Surg. 2018; 141(6): 893–901. https://doi.org/10.1097/PRS.0000000000004397Haavisto A.K., Sahraravand A., Puska P., Leivo T. Toy gun eye injuries – eye protection needed Helsinki ocular trauma study. Acta Ophthalmol. 2019; 97(4): 430–4. https://doi.org/10.1111/aos.13948Haavisto A.K., Sahraravand A., Puska P., Leivo T. Toy gun eye injuries – eye protection needed Helsinki ocular trauma study. Acta Ophthalmol. 2019; 97(4): 430–4. https://doi.org/10.1111/aos.13948Xue C., Yang L.C., Kong Y.C. Application of pediatric ocular trauma score in pediatric open globe injuries. Int. J. Ophthalmol. 2020; 13(7): 1097–101. https://doi.org/10.18240/ijo.2020.07.13Xue C., Yang L.C., Kong Y.C. Application of pediatric ocular trauma score in pediatric open globe injuries. Int. J. Ophthalmol. 2020; 13(7): 1097–101. https://doi.org/10.18240/ijo.2020.07.13Jank S., Emshoff R., Etzelsdorfer M., Strobl H., Nicasi A., Norer B. The diagnostic value of ultrasonography in the detection of orbital floor fractures with a curved array transducer. Int. J. Oral. Maxillofac. Surg. 2004; 33(1): 13–8. https://doi.org/10.1054/ijom.2003.0456Jank S., Emshoff R., Etzelsdorfer M., Strobl H., Nicasi A., Norer B. The diagnostic value of ultrasonography in the detection of orbital floor fractures with a curved array transducer. Int. J. Oral. Maxillofac. Surg. 2004; 33(1): 13–8. https://doi.org/10.1054/ijom.2003.0456Jank S., Emshoff R., Etzelsdorfer M., Strobl H., Nicasi A., Norer B. Ultrasound versus computed tomography in the imaging of orbital floor fractures. J. Oral. Maxillofac. Surg. 2004; 62(2): 150–4. https://doi.org/10.1016/j.joms.2003.01.004Jank S., Emshoff R., Etzelsdorfer M., Strobl H., Nicasi A., Norer B. Ultrasound versus computed tomography in the imaging of orbital floor fractures. J. Oral. Maxillofac. Surg. 2004; 62(2): 150–4. https://doi.org/10.1016/j.joms.2003.01.004Wang L., Wang J. On the positive correlation between the percentage of acute fracture of medial orbital wall and the degree of injury of affected medial rectus muscle by CT image. Eur. J. Radiol. 2012; 81(1): 58–61. https://doi.org/10.1016/j.ejrad.2011.01.011Wang L., Wang J. On the positive correlation between the percentage of acute fracture of medial orbital wall and the degree of injury of affected medial rectus muscle by CT image. Eur. J. Radiol. 2012; 81(1): 58–61. https://doi.org/10.1016/j.ejrad.2011.01.011Lynham A.J., Chapman P.J., Monsour F.N., Snape L., Courtney D.J., Heggie A.A., et al. Management of isolated orbital floor blow-out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons. Clin. Exp. Ophthalmol. 2004; 32(1): 42–5. https://doi.org/10.1046/j.1442-9071.2004.00755.xLynham A.J., Chapman P.J., Monsour F.N., Snape L., Courtney D.J., Heggie A.A., et al. Management of isolated orbital floor blow-out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons. Clin. Exp. Ophthalmol. 2004; 32(1): 42–5. https://doi.org/10.1046/j.1442-9071.2004.00755.xЛежнев Д.А., Трутень В.П., Серова Н.С. Роль методов лучевой диагностики в визуализации изолированных повреждений челюстнолицевой области. Вестник Российской Военно-медицинской академии. 2008; (2): 66–8. https://elibrary.ru/jwenzlLezhnev D.A., Serova N.S., Truten V.P. Role of radiologic vizualization methods in diagnostics of isolated face trauma. Vestnik Rossiyskoy voenno-meditsinskoy akademii. 2008; (2): 66–8. https://elibrary.ru/jwenzl (in Russian)Павлова О.Ю., Серова Н.С. Многосрезовая компьютерная томография в диагностике переломов глазниц. Вестник рентгенологии и радиологии. 2015; (3): 12–7. https://elibrary.ru/ucbdrbPavlova O.Yu., Serova N.S. Multislice computed tomography in the diagnosis of orbital fractures. Vestnik rentgenologii i radiologii. 2015; (3): 12–7. https://elibrary.ru/ucbdrb (in Russian)Dreizin D., Nam A.J., Hirsch J., Bernstein M.P. New and emerging patient-centered CT imaging and image-guided treatment paradigms for maxillofacial trauma. Emerg. Radiol. 2018; 25(5): 533–45. https://doi.org/10.1007/s10140-018-1616-9Dreizin D., Nam A.J., Hirsch J., Bernstein M.P. New and emerging patient-centered CT imaging and image-guided treatment paradigms for maxillofacial trauma. Emerg. Radiol. 2018; 25(5): 533–45. https://doi.org/10.1007/s10140-018-1616-9Gómez Roselló E., Quiles Granado A.M., Artajona Garcia M., Juanpere Martí S., Laguillo Sala G., Beltrán Mármol B., et al. Facial fractures: classification and highlights for a useful report. Insights. Imaging. 2020; 11(1): 49. https://doi.org/10.1186/s13244-020-00847-wGómez Roselló E., Quiles Granado A.M., Artajona Garcia M., Juanpere Martí S., Laguillo Sala G., Beltrán Mármol B., et al. Facial fractures: classification and highlights for a useful report. Insights. Imaging. 2020; 11(1): 49. https://doi.org/10.1186/s13244-020-00847-wKunz C., Sigron G.R., Jaquiéry C. Functional outcome after non-surgical management of orbital fractures – the bias of decision-making according to size of defect: critical review of 48 patients. Br. J. Oral. Maxillofac. Surg. 2013; 51(6): 486–92. https://doi.org/10.1016/j.bjoms.2012.09.016Kunz C., Sigron G.R., Jaquiéry C. Functional outcome after non-surgical management of orbital fractures – the bias of decision-making according to size of defect: critical review of 48 patients. Br. J. Oral. Maxillofac. Surg. 2013; 51(6): 486–92. https://doi.org/10.1016/j.bjoms.2012.09.016Ryu J., Yun S.J., Lee S.H., Choi Y.H. Screening of pediatric facial fractures by brain computed tomography: diagnostic performance comparison with facial computed tomography. Pediatr. Emerg. Care. 2020; 36(3): 125–9. https://doi.org/10.1097/PEC.0000000000001397Ryu J., Yun S.J., Lee S.H., Choi Y.H. Screening of pediatric facial fractures by brain computed tomography: diagnostic performance comparison with facial computed tomography. Pediatr. Emerg. Care. 2020; 36(3): 125–9. https://doi.org/10.1097/PEC.0000000000001397Лежнев Д.А., Петровская В.В. Современные тенденции лучевой диагностики в стоматологии и челюстно-лицевой хирургии (лекция). Радиология-Практика. 2019; (5): 57–73. https://elibrary.ru/gpwmthLezhnev D.A., Petrovskaya V.V. Modern radiological trends in dentistry and maxillofacial surgery (lecture). Radiologiya-Praktika. 2019; (5): 57–73. https://elibrary.ru/gpwmth (in Russian)Ball J.B. Jr. Direct oblique sagittal CT of orbital wall fractures. AJR Am. J. Roentgenol. 1987; 148(3): 601–8. https://doi.org/10.2214/ajr.148.3.601Ball J.B. Jr. Direct oblique sagittal CT of orbital wall fractures. AJR Am. J. Roentgenol. 1987; 148(3): 601–8. https://doi.org/10.2214/ajr.148.3.601Rake P.A., Rake S.A., Swift J.Q., Schubert W. A single reformatted oblique sagittal view as an adjunct to coronal computed tomography for the evaluation of orbital floor fractures. J. Oral. Maxillofac. Surg. 2004; 62(4): 456–9. https://doi.org/10.1016/j.joms.2003.05.017Rake P.A., Rake S.A., Swift J.Q., Schubert W. A single reformatted oblique sagittal view as an adjunct to coronal computed tomography for the evaluation of orbital floor fractures. J. Oral. Maxillofac. Surg. 2004; 62(4): 456–9. https://doi.org/10.1016/j.joms.2003.05.017Joseph J.M., Glavas I.P. Orbital fractures: a review. Clin. Ophthalmol. 2011; (5): 95–100. https://doi.org/10.2147/OPTH.S14972Joseph J.M., Glavas I.P. Orbital fractures: a review. Clin. Ophthalmol. 2011; (5): 95–100. https://doi.org/10.2147/OPTH.S14972Lee S.H., Yun S.J., Ryu S., Choi S.W., Kim H.J., Kang T.K., et al. Brain computed tomography compared with facial 3-dimensional computed tomography for diagnosis of facial fractures. J. Pediatr. 2017; 184: 32–7. https://doi.org/10.1016/j.jpeds.2017.01.036Lee S.H., Yun S.J., Ryu S., Choi S.W., Kim H.J., Kang T.K., et al. Brain computed tomography compared with facial 3-dimensional computed tomography for diagnosis of facial fractures. J. Pediatr. 2017; 184: 32–7. https://doi.org/10.1016/j.jpeds.2017.01.036Jamal B.T., Pfahler S.M., Lane K.A., Bilyk J.R., Pribitkin E.A., Diecidue R.J., et al. Ophthalmic injuries in patients with zygomaticomaxillary complex fractures requiring surgical repair. J. Oral. Maxillofac. Surg. 2009; 67(5): 986–9. https://doi.org/10.1016/j.joms.2008.12.035Jamal B.T., Pfahler S.M., Lane K.A., Bilyk J.R., Pribitkin E.A., Diecidue R.J., et al. Ophthalmic injuries in patients with zygomaticomaxillary complex fractures requiring surgical repair. J. Oral. Maxillofac. Surg. 2009; 67(5): 986–9. https://doi.org/10.1016/j.joms.2008.12.035Cellina M., Floridi C., Panzeri M., Giancarlo O. The role of computed tomography (CT) in predicting diplopia in orbital blowout fractures (BOFs). Emerg. Radiol. 2018; 25(1): 13–9. https://doi.org/10.1007/s10140-017-1551-1Cellina M., Floridi C., Panzeri M., Giancarlo O. The role of computed tomography (CT) in predicting diplopia in orbital blowout fractures (BOFs). Emerg. Radiol. 2018; 25(1): 13–9. https://doi.org/10.1007/s10140-017-1551-1Roelofs K.A., Starks V., Yoon M.K. Orbital emphysema: a case report and comprehensive review of the literature. Ophthalmic. Plast. Reconstr. Surg. 2019; 35(1): 1–6. https://doi.org/10.1097/IOP.0000000000001216Roelofs K.A., Starks V., Yoon M.K. Orbital emphysema: a case report and comprehensive review of the literature. Ophthalmic. Plast. Reconstr. Surg. 2019; 35(1): 1–6. https://doi.org/10.1097/IOP.0000000000001216Huang L.K., Tu H.F., Jiang L.D., Chen Y.Y., Fu C.Y. Evaluation of concomitant orbital floor fractures in patients with head trauma using conventional head CT scan: a retrospective study at a level II trauma center. J. Clin. Med. 2019; 8(11): 1852. https://doi.org/10.3390/jcm8111852Huang L.K., Tu H.F., Jiang L.D., Chen Y.Y., Fu C.Y. Evaluation of concomitant orbital floor fractures in patients with head trauma using conventional head CT scan: a retrospective study at a level II trauma center. J. Clin. Med. 2019; 8(11): 1852. https://doi.org/10.3390/jcm8111852Cellina M., Cè M., Marziali S., Irmici G., Gibelli D., Oliva G., et al. Computed tomography in traumatic orbital emergencies: a pictorial essay-imaging findings, tips, and report flowchart. Insights Imaging. 2022; 13(1): 4. https://doi.org/10.1186/s13244-021-01142-yCellina M., Cè M., Marziali S., Irmici G., Gibelli D., Oliva G., et al. Computed tomography in traumatic orbital emergencies: a pictorial essay-imaging findings, tips, and report flowchart. Insights Imaging. 2022; 13(1): 4. https://doi.org/10.1186/s13244-021-01142-yDubois L., Steenen S.A., Gooris P.J., Mourits M.P., Becking A.G. Controversies in orbital reconstruction – I. Defect-driven orbital reconstruction: a systematic review. Int. J. Oral. Maxillofac. Surg. 2015; 44(3): 308–15. https://doi.org/10.1016/j.ijom.2014.12.002Dubois L., Steenen S.A., Gooris P.J., Mourits M.P., Becking A.G. Controversies in orbital reconstruction – I. Defect-driven orbital reconstruction: a systematic review. Int. J. Oral. Maxillofac. Surg. 2015; 44(3): 308–15. https://doi.org/10.1016/j.ijom.2014.12.002Folkestad L., Jönsson L., Karlsson T. Orbital floor fractures – a comparison between CT images and findings at surgery. Eur. Arch. Otorhinolaryngol. 2023; 280(6): 2795–803. https://doi.org/10. 1007/s00405-022-07801-0Folkestad L., Jönsson L., Karlsson T. Orbital floor fractures – a comparison between CT images and findings at surgery. Eur. Arch. Otorhinolaryngol. 2023; 280(6): 2795–803. https://doi.org/10. 1007/s00405-022-07801-0Schmutz B., Rahmel B., McNamara Z., Coulthard A., Schuetz M., Lynham A. Magnetic resonance imaging: An accurate, radiation-free, alternative to computed tomography for the primary imaging and three-dimensional reconstruction of the bony orbit. J. Oral. Maxillofac. Surg. 2014; 72(3): 611–8. https://doi.org/10.1016/j.joms.2013.08.030Schmutz B., Rahmel B., McNamara Z., Coulthard A., Schuetz M., Lynham A. Magnetic resonance imaging: An accurate, radiation-free, alternative to computed tomography for the primary imaging and three-dimensional reconstruction of the bony orbit. J. Oral. Maxillofac. Surg. 2014; 72(3): 611–8. https://doi.org/10.1016/j.joms.2013.08.030Wiener E., Kolk A., Neff A., Settles M., Rummeny E. Evaluation of reconstructed orbital wall fractures: High-resolution MRI using a microscopy surface coil versus 16-slice MSCT. Eur. Radiol. 2005; 15(6): 1250–55. https://doi.org/10.1007/s00330-005-2660-xWiener E., Kolk A., Neff A., Settles M., Rummeny E. Evaluation of reconstructed orbital wall fractures: High-resolution MRI using a microscopy surface coil versus 16-slice MSCT. Eur. Radiol. 2005; 15(6): 1250–55. https://doi.org/10.1007/s00330-005-2660-xDamgaard O.E., Larsen C.G., Felding U.A., Toft P.B., von Buchwald C. Surgical timing of the orbital “Blowout” fracture: a systematic review and meta-analysis. Otolaryngol. Head Neck Surg. 2016; 155(3): 387–90. https://doi.org/10.1177/0194599816647943Damgaard O.E., Larsen C.G., Felding U.A., Toft P.B., von Buchwald C. Surgical timing of the orbital “Blowout” fracture: a systematic review and meta-analysis. Otolaryngol. Head Neck Surg. 2016; 155(3): 387–90. https://doi.org/10.1177/0194599816647943Coon D., Yuan N., Jones D., Howell L.K., Grant M.P., Redett R.J. Defining pediatric orbital roof fractures: patterns, sequelae, and indications for operation. Plast. Reconstr. Surg. 2014; 134(3): 442–8. https://doi.org/10.1097/PRS.0000000000000421Coon D., Yuan N., Jones D., Howell L.K., Grant M.P., Redett R.J. Defining pediatric orbital roof fractures: patterns, sequelae, and indications for operation. Plast. Reconstr. Surg. 2014; 134(3): 442–8. https://doi.org/10.1097/PRS.0000000000000421Passi N., Degnan A.J., Levy L.M. MR imaging of papilledema and visual pathways: effects of increased intracranial pressure and pathophysiologic mechanisms. AJNR Am. J. Neuroradiol. 2013; 34(5): 919–24. https://doi.org/10.3174/ajnr.A3022Passi N., Degnan A.J., Levy L.M. MR imaging of papilledema and visual pathways: effects of increased intracranial pressure and pathophysiologic mechanisms. AJNR Am. J. Neuroradiol. 2013; 34(5): 919–24. https://doi.org/10.3174/ajnr.A3022Tortora F., Cirillo M., Ferrara M., Belfiore M.P., Carella C., Caranci F., et al. Disease activity in Graves’ ophthalmopathy: diagnosis with orbital MR imaging and correlation with clinical score. Neuroradiol. J. 2013; 26(5): 555–64. https://doi.org/10.1177/197140091302600509Tortora F., Cirillo M., Ferrara M., Belfiore M.P., Carella C., Caranci F., et al. Disease activity in Graves’ ophthalmopathy: diagnosis with orbital MR imaging and correlation with clinical score. Neuroradiol. J. 2013; 26(5): 555–64. https://doi.org/10.1177/197140091302600509Higashiyama T., Iwasa M., Ohji M. Quantitative analysis of inflammation in orbital fat of thyroid-associated ophthalmopathy using MRI signal intensity. Sci. Rep. 2017; 7(1): 16874. https://doi.org/10.1038/s41598-017-17257-6Higashiyama T., Iwasa M., Ohji M. Quantitative analysis of inflammation in orbital fat of thyroid-associated ophthalmopathy using MRI signal intensity. Sci. Rep. 2017; 7(1): 16874. https://doi.org/10.1038/s41598-017-17257-6Das T., Roos J.C.P., Patterson A.J., Graves M.J., Murthy R. T2-relaxation mapping and fat fraction assessment to objectively quantify clinical activity in thyroid eye disease: an initial feasibility study. Eye (Lond.). 2019; 33(2): 235–43. https://doi.org/10.1038/s41433-018-0304-zDas T., Roos J.C.P., Patterson A.J., Graves M.J., Murthy R. T2-relaxation mapping and fat fraction assessment to objectively quantify clinical activity in thyroid eye disease: an initial feasibility study. Eye (Lond.). 2019; 33(2): 235–43. https://doi.org/10.1038/s41433-018-0304-zChavhan G.B., Babyn P.S., Thomas B., Shroff M.M., Haacke E.M. Principles, techniques, and applications of T2*-based MR imaging and its special applications. Radiographics. 2009; 29(5): 1433–49. https://doi.org/10.1148/rg.295095034Chavhan G.B., Babyn P.S., Thomas B., Shroff M.M., Haacke E.M. Principles, techniques, and applications of T2*-based MR imaging and its special applications. Radiographics. 2009; 29(5): 1433–49. https://doi.org/10.1148/rg.295095034Galluzzi P., Hadjistilianou T., Cerase A., De Francesco S., Toti P., Venturi C. Is CT still useful in the study protocol of retinoblastoma? AJNR Am. J. Neuroradiol. 2009; 30(9): 1760–65. https://doi.org/10.3174/ajnr.A1716Galluzzi P., Hadjistilianou T., Cerase A., De Francesco S., Toti P., Venturi C. Is CT still useful in the study protocol of retinoblastoma? AJNR Am. J. Neuroradiol. 2009; 30(9): 1760–65. https://doi.org/10.3174/ajnr.A1716Garcia-Carpintero A.S.M., Petcharunpaisan S., Ramalho J.P.R.S.N.P., Castillo M. Advances in pediatric orbital magnetic resonance imaging. Expert Rev. Ophthalmol. 2010; 5(4): 483–500. https://doi.org/10.1586/eop.10.46Garcia-Carpintero A.S.M., Petcharunpaisan S., Ramalho J.P.R.S.N.P., Castillo M. Advances in pediatric orbital magnetic resonance imaging. Expert Rev. Ophthalmol. 2010; 5(4): 483–500. https://doi.org/10.1586/eop.10.46Murumkar V., Priyadarshini Baishya P., Kulanthaivelu K., Saini J., Manjunath N., Kumar Gupta R. Comparison of 3D Double Inversion Recovery (DIR) versus 3D fluid attenuated inversion recovery (FLAIR) in precise diagnosis of acute optic neuritis. Eur. J. Radiol. 2022; 155: 110505. https://doi.org/10.1016/j.ejrad.2022.110505Murumkar V., Priyadarshini Baishya P., Kulanthaivelu K., Saini J., Manjunath N., Kumar Gupta R. Comparison of 3D Double Inversion Recovery (DIR) versus 3D fluid attenuated inversion recovery (FLAIR) in precise diagnosis of acute optic neuritis. Eur. J. Radiol. 2022; 155: 110505. https://doi.org/10.1016/j.ejrad.2022.110505Hemat E.M. Characterization of orbital masses by diffusion-weighted magnetic resonance imaging (DWI) and apparent diffusion coefficient (ADC) value. Egypt. J. Radiol. Nucl. Med. 2017; 48(1): 115–23. https://doi.org/10.1016/j.ejrnm.2016.10.003Hemat E.M. Characterization of orbital masses by diffusion-weighted magnetic resonance imaging (DWI) and apparent diffusion coefficient (ADC) value. Egypt. J. Radiol. Nucl. Med. 2017; 48(1): 115–23. https://doi.org/10.1016/j.ejrnm.2016.10.003van Everdingen K.J., van der Grond J., Kappelle L.J., Ramos L.M., Mali W.P. Diffusion-weighted magnetic resonance imaging in acute stroke. Stroke. 1998; 29(9): 1783–90. https://doi.org/10.1161/01.str.29.9.1783van Everdingen K.J., van der Grond J., Kappelle L.J., Ramos L.M., Mali W.P. Diffusion-weighted magnetic resonance imaging in acute stroke. Stroke. 1998; 29(9): 1783–90. https://doi.org/10.1161/01.str.29.9.1783Seitz J., Held P., Strotzer M., Müller M., Völk M., Lenhart M., et al. Magnetic resonance imaging in patients diagnosed with papilledema: a comparison of 6 different high-resolution T1- and T2(*)-weighted 3-dimensional and 2-dimensional sequences. J. Neuroimaging. 2002; 12(2): 164–71. https://doi.org/10.1111/j.1552-6569.2002.tb00115.xSeitz J., Held P., Strotzer M., Müller M., Völk M., Lenhart M., et al. Magnetic resonance imaging in patients diagnosed with papilledema: a comparison of 6 different high-resolution T1- and T2(*)-weighted 3-dimensional and 2-dimensional sequences. J. Neuroimaging. 2002; 12(2): 164–71. https://doi.org/10.1111/j.1552-6569.2002.tb00115.xYazici Z., Yazici B., Tuncel E. Findings of magnetic resonance imaging after optic nerve sheath decompression in patients with idiopathic intracranial hypertension. Am. J. Ophthalmol. 2007; 144(3): 429–35. https://doi.org/10.1016/j.ajo.2007.05.034Yazici Z., Yazici B., Tuncel E. Findings of magnetic resonance imaging after optic nerve sheath decompression in patients with idiopathic intracranial hypertension. Am. J. Ophthalmol. 2007; 144(3): 429–35. https://doi.org/10.1016/j.ajo.2007.05.034

The authors declare that there are no conflicts of interest present.