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To the Editor.—I would like to comment on several disputable points made in the article titled "Surgical Treatment of Orbital Floor Fractures" by Rankow and Mignogna, which appeared in the Archives (101:19-22, 1975). These include the discussion of orbital rim fractures, associated with orbital floor fractures, along with pure "isolated" blow-out fractures of the orbital floor; the statement that "all fractures with clinical symptoms and demonstrable roentgenographic evidence should be explored"; the statement that inferior rectus muscle entrapment is the cause of limitation in ocular motility and diplopia; and the statement that delayed treatment of pure blow-out fractures of the orbital floor renders poor results.
It is important not to confuse orbital rim fractures that are associated with orbital floor fractures with pure blow-out fractures of the orbital floor. Rim fractures are a completely different entity in terms of cause, findings, and treatment. Therefore, the combined discussion of these
PUTTERMAN AM. Orbital Floor Fractures. Arch Otolaryngol. 1975;101(11):706–707. doi:10.1001/archotol.1975.00780400064019
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