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Blindness and LeFort III fractures
The Annals of Otology, Rhinology, and Laryngology
|January 1, 1984
Summary
Facial fractures near the eye can injure the optic nerve, potentially causing blindness. Experts favor a conservative approach, using external fixation without immediate fracture repair, followed by delayed cosmetic surgery.
Area of Science:
- Maxillofacial Trauma
- Ophthalmology
- Neurosurgery
Background:
- Injuries to the nasal frontal complex frequently involve optic nerve trauma.
- Acute facial fractures, particularly those affecting the nasal frontal complex, pose a risk of optic nerve damage and subsequent vision loss.
Purpose of the Study:
- To review expert opinions on managing acute facial fractures causing optic nerve injury and blindness.
- To determine the consensus on the optimal treatment strategy for these severe injuries.
Main Methods:
- A review of expert opinions in maxillofacial trauma regarding acute facial fracture management.
- Analysis of approaches for optic nerve injury associated with facial trauma.
Main Results:
- Expert opinions on management are mixed, but a conservative attitude prevails.
- The majority of experts support a conservative treatment plan.
Conclusions:
- The consensus supports a conservative approach for facial fractures with optic nerve injury.
- Recommended management includes external fixation without immediate fracture mobilization, followed by delayed cosmetic repair.