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ORIGINAL ARTICLE
Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 84-89

Orbital blowout fractures: ASurvey and review


1 Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India
2 Department of Oral and Maxillofacial Surgery, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India

Correspondence Address:
Gaurav Mittal
Department of Oral and Maxillofacial Surgery, Institute of Dental Studies and Technologies, Modinagar Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.194989

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Background: Orbital floor fractures make up one of the most widely discussed clinical controversies of the maxillofacial region. Many have no major consequences if left untreated, however, some may result in unacceptable functional and cosmetic defects. We present our views regarding their diagnosis, treatment planning, and management. Patients and Methods: A postal survey was designed to assess the current concepts employed by the practicing oral and maxillofacial surgeons within the state of Kerala, India, regarding the management of these fractures, in the form of a tick box questionnaire. The questionnaire was formatted to include 18 closed questions divided into 5 different sections. The questionnaire was forwarded to 45 practicing oral and maxillofacial surgeons by post. Results: The response rate of the postal survey was 49%. Pre and postoperative prescription of antibiotics was practiced by 72% for 5-7 days. Sixty-three percent of the respondents used steroids while 81% wait for edema resolution before making the final decision to operate. All respondents relied on plain radiography and CT scanning for the final diagnosis and treatment planning. Most surgeons (63%) considered diplopia as the mostimportant ophthalmologic parameter determining the prognosis and the final treatment outcome. Conclusion: The following article discusses the results of this survey and reviews the past and current literature associated with these fractures. It can be very safely said that there is no real consensus regarding all the aspects of these injuries, with the management being mostly operator dependant.


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