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April 1969

Orbital Blowout Fracture: Rationale of Surgical Technique

Author Affiliations

From the Michael Reese and Cook County Hospitals, Chicago.

Arch Otolaryngol. 1969;89(4):591-595. doi:10.1001/archotol.1969.00770020593007

ORIGINALLY termed traumatic diplopia or enophthalmos by Lang in 1889, the condition currently known as blowout fracture of the floor of the orbit has been the subject of a burgeoning literature in the past 15 years. The numerous reports may be ascribed to an increasing awareness of its occurrence as well as the mounting incidence of facial trauma incurred in personal, vehicular, and industrial accidents, in contact sports and in the escalation of interpersonal violence and criminal assaults.

It is the purpose of this paper to analyze a series of 25 cases of recent blowout fractures as to types, repair procedures utilized, and complications encountered. A rationale of an orderly selection of steps in the technique will be promulgated, with emphasis on minimizing the amount of surgery required. Comments will be made on current methods of repair. Representative cases will be summarized and helpful adjuncts to the surgery will be

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