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[Foley balloon placement for maxillofacial fractures]
Bahar Keleş1, Kayhan Oztürk, Hamdi Arbağ
1Department of Otolaryngology, Medical School of Meram, Selçuk University, Konya, Turkey. baharkeles@selcuk.edu.tr
Summary
Maxillary sinus Foley balloon placement effectively treats maxillofacial fractures by supporting the orbital floor and ensuring sinus patency. This method is recommended for blow-out, orbitozygomatic, and maxillary fractures.
Area of Science:
- Maxillofacial Surgery
- Trauma Surgery
- Ophthalmology
Background:
- Maxillofacial fractures, including blow-out, orbitozygomatic, and maxillary types, often require surgical intervention.
- Maintaining maxillary sinus patency and supporting the orbital floor are critical aspects of treatment.
Purpose of the Study:
- To evaluate the effectiveness of maxillary sinus Foley balloon placement in managing patients with maxillofacial fractures.
Main Methods:
- A study of 38 patients (28 males, 10 females; mean age 29.1 years) with various maxillofacial fractures.
- Foley balloon placement and gauze packing were utilized for treatment.
- Evaluation included fracture type, etiology, management, and complications.
Main Results:
- 84.2% of patients achieved sufficient maxillary sinus patency.
- Preoperative symptoms like enophthalmos (28.9%) and facial asymmetry (65.8%) significantly improved postoperatively.
- Postoperative enophthalmos, diplopia, and limited ocular motility were reduced to 13.2%, 7.9%, and 5.3%, respectively.
Conclusions:
- Maxillary Foley balloon placement is a preferred method for treating blow-out, orbitozygomatic, and maxillary fractures.
- This technique effectively supports the orbital floor.
- It ensures adequate maxillary sinus patency, leading to improved patient outcomes.