ABSTRACT
A fracture of the orbital floor as a result of nose blowing is rare and we know of only three reported cases. We present a 40-year-old man who required repair of a blowout fracture of the orbital floor as a result of vigorous nose blowing. Patients who present with acute periorbital emphysema after nose blowing require careful assessment with potential blowout fractures in mind.
Subject(s)
Barotrauma/complications , Fractures, Comminuted/etiology , Nose/injuries , Orbital Fractures/etiology , Adult , Diplopia/etiology , Hematoma/etiology , Humans , Male , Subcutaneous Emphysema/etiologySubject(s)
Ear Canal , Fistula/therapy , Temporomandibular Joint , Aged , Female , Fistula/diagnosis , Fistula/etiology , Humans , Male , Mandibular Advancement , Middle Aged , Occlusal Splints , Surgical FlapsABSTRACT
This paper highlights critical aspects of examination, diagnosis and early management of the maxillofacial trauma patient.
Subject(s)
Emergency Treatment/methods , Maxillofacial Injuries/diagnosis , Maxillofacial Injuries/therapy , Multiple Trauma/diagnosis , Multiple Trauma/therapy , Airway Obstruction/etiology , Cervical Vertebrae/injuries , Emergency Service, Hospital , Emergency Treatment/standards , Eye Injuries/etiology , Hemorrhage/etiology , Humans , Malocclusion/etiology , Mandibular Fractures/etiology , Maxillofacial Injuries/complications , Maxillofacial Injuries/epidemiology , Multiple Trauma/complications , Multiple Trauma/epidemiology , Neurologic Examination , Ophthalmoscopy , Physical Examination/methods , Practice Guidelines as Topic , Tomography, X-Ray ComputedABSTRACT
BACKGROUND: This is the first report of involvement of Australian and New Zealand oral and maxillofacial surgeons in the management of isolated orbital floor blow-out fractures and was conducted to obtain comparisons with the results from a recent similar survey of British oral and maxillofacial surgeons. METHODS: A questionnaire survey was sent to all 113 practising members of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons in April 2002 with a second mailout 1 month later. RESULTS: Sixty-nine per cent of the respondents were referred isolated orbital floor blow-out fractures for management, and just over half of these respondents estimated that 50% or more of the cases went to surgery. The materials most commonly used in orbital floor reconstruction were resorbable membrane for small defects and autologous bone for large defects. CONCLUSION: As in Britain, management of isolated orbital floor blow-out fractures comprises part of the surgical spectrum for many oral and maxillofacial surgeons in Australia and New Zealand. The management protocol was observed to be very similar between the two groups.
Subject(s)
Orbital Fractures/surgery , Practice Patterns, Physicians' , Surgery, Oral , Absorbable Implants , Australia , Bone Transplantation , Health Surveys , Humans , New Zealand , Oral Surgical Procedures/methods , Orbital Fractures/diagnostic imaging , Societies, Medical , Surgery, Oral/statistics & numerical data , Surveys and Questionnaires , Time Factors , Tomography, X-Ray Computed , Transplantation, AutologousABSTRACT
BACKGROUND: Management of orbitozygomatic fractures forms part of the scope of practice of many oral and maxillofacial surgeons. As aspects of management vary among surgeons who treat such injuries, this confidential study was undertaken to examine some of the protocols of Australian and New Zealand oral and maxillofacial surgeons. RESULTS: Eighty-one per cent of the respondents treated orbitozygomaticfractures and on average, each treated approximately 24 cases per year. Also, about one in five cases required orbital floor exploration.Further, the preferred imaging baseline was computed tomography plus plain X-rays, while the preferred implant materials for orbital floor reconstruction were autologous bone and resorbable membrane. The incidence of postoperative retrobulbar haemorrhage was estimated at approximately 1:1000. CONCLUSION: Most oral and maxillofacial surgeons treat orbitozygomatic injuries as part of their surgical scope.