Vol.98 No.6 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 98 No. 6 June 2005
Combination of Transantral and Infraorbital Approaches
for the Treatment of Blow-Out Fracture
Takayuki Mochizuki and Hajime Hirose
(Yamato Tokushukai Hospital)
Yukiko Mochizuki and Mamoru Tsukuda
(Yokohama City University School of Medicine)
We report 3 cases of blow-out fracture treated by a combination of transantral and infraorbital approaches with open reduction. Each case had facial trauma associated with enophthalmos and diplopia. CT examination revealed fractures of the orbital floor and blow-out of the orbiatal content toward the antrum. The transantral balloon technique combined with infraorbital open reduction using iliac bone grafting was applied in these 3 cases and the outcomes were quite successful in all cases. We consider that collaboration between otolaryngologists and plastic surgeons is important for the treatment of fractures of the orbital floor.
Key words : transantral approach, infraorbital approach, blow-out fracture, iliac bone graft