[Clinical analysis of midfacial fractures with orbital floor fractures].
OBJECTIVE
To study the characters of the diagnosis and treatment for midfacial fractures with orbital floor fractures.


METHODS
136 cases of midfacial fractures with orbital floor fractures were diagnosed and treated. All patients underwent CT scans and accepted surgical intervention. Orbital floor fracture was restituted in 49 cases. Orbital floor defects were reconstructed with autogenous bone, titanium mesh or porous polyethylene implant (Medpor) in 21 cases.


RESULTS
136 cases recovered well, their facial appearance and function were improved significantly. There were no severe complications happened postoperatively in all cases. 2 cases had postoperative wounds infection and 1 case had temporary ablepsia, but healed completely.


CONCLUSIONS
CT is the best method for diagnosing orbital floor fractures. The objective of treatment is restoration of normal orbital floor and orbital capacity, the reduction of orbital contents prolapsed and reconstruction of orbital floor fractures with repair materials.
Xiao
Jin-gang
JG
Dept. of Traumatic and Plastic Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China.
Liu
Lei
L
Dong
Hai
H
Tian
Wei-dong
WD
Li
Xiao-yu
XY
Tang
Wei
W
Zheng
Xiao-hui
XH
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009917:Orbital Fractures; D011095:Polyethylenes; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures; D013526:Surgical Mesh; D014025:Titanium; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
C084562:Medpor; D011095:Polyethylenes; D014025:Titanium