Abstract

A study was made of orbital wall fractures, the so-called "Blow-out" fractures, in twenty seven patients. The fractures frequently occured in males (23 of 27 cases) . The common causes are interpersonal conflict injuries, incidents in sports and automobile accidents. For reduction of the orbital floor fractures, surgical approach via the maxillary sinus is the method of choice, since an otolaryngologist is familiar with sinus surgery and it is, therefore, easier to inspect for the inner aspects of the sinus and repair prolapse of orbital soft tissue into the sinus removing bone chips. The fractures of the medial wall of orbita are repaired via the ethmoid sinuses, using endoscope and silastic plate. It is not favorable to place an inplant of synthetic materials in the orbit. A support to maintain the repaired wall is usualy removed later through the sinuses.