Fractures of the orbita may involve the suprior ridge or the thin bony plate of the socket as in the case with so-called blow-out fractures. The authors describe five cases with fractures of the orbita, the damage of each of which being quite different.
The common sites of the fractures, however, were the lower ridge and the inferior wall of the orbita, while in some cases, they were seen extending into the ethmoid plate of the orbita.
All the cases have been corrected through antral approach, which affords various advantages such as easy correction of the medial wall and simultaneous treatment of the damages to the sinuses.
Since the paranasal sinuses are involved more or less in many cases with orbital fractures, rhinological approach seems essential for the surgical correction in the sense that the damages to the sinuses ought to be corrected mimulatenously in the same procedure.
