Affordable Access

Publisher Website

A retrospective study of treatment of orbital floor fractures with the maxillary sinus approach

Authors
Journal
British Journal of Plastic Surgery
0007-1226
Publisher
Elsevier
Publication Date
Volume
38
Issue
1
Identifiers
DOI: 10.1016/0007-1226(85)90097-9
Disciplines
  • Medicine

Abstract

Abstract The Cook County Hospital, Chicago, Illinois, protocol for the management of orbital fractures is presented. Diplopia which fails to resolve in 1 week or appears after oedema subsides, enophthalmos or radiographic depression of the orbital floor, associated tripod fracture deformity, or purulent maxillary sinusitis are indications for surgery. The surgical procedure is a modification of the maxillary sinus approach, which includes the use of iodoform gauze packing, nasal antrostomy, a double layer oral closure and prophylactic antibiotics. A review of 102 patients treated surgically over a 6-year period is presented. Post-operative diplopia was 9% and there were minor complications in 3%, which were significantly lower than previously reported series of orbital fractures treated either non-operatively, or through an orbital exploration approach. No patient treated non-operatively required surgery in the future. The protocol presented can eliminate unnecessary exploration and yields excellent results with a simple surgical procedure.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

A retrospective study of treatment of orbital floo...

on British journal of plastic sur... January 1985

Orbital floor fractures: the maxillary approach.

on Advances in ophthalmic plastic... 1987

Reconstruction of Orbital Floor Fractures with Aut...

on Journal of maxillofacial and o... September 2015

Diagnosis and treatment of fractures of the orbita...

on Acta oto-laryngologica. Supple... 1992
More articles like this..