Experience with various procedures in the treatment of orbital floor fractures

Experience gained in the treatment of 75 patients with orbital floor injuries is presented. These injuries occurred independently or in association with mid-face fractures. In fractures of the zygomatic bone and the zygomatic part of the orbit repositioning of the zygomatic bone by a traction hook is the simplest method. In recent multiple fractures of the mid-face it is most suitable to use a lamina from the anterior or medial wall of the maxillary sinus for bridging the orbital floor defect. Osteoplasty of the orbital floor using an iliac bone graft is the method of choice in the treatment of neglected blow-out fractures fo the orbital floor. In cases with recent blow-out fractures of the orbital floor the defect can be bridged by bone taken from the hip or a lamina from the anterior wall of the maxillary sinus. It is not necessary to perform intranasal antrostomy of gauze packing of the sinus.