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Invited commentary| Volume 65, ISSUE 7, P883-884, July 2012

Treatment of blowout fracture: Optimal treatment modality yet to be found?

  • Ulrich M. Rieger
    Correspondence
    Corresponding author. Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University Innsbruck (MUI), Anichstrasse 35, 6020 Innsbruck, Austria. Tel.: +43 512 504 80088.
    Affiliations
    Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University Innsbruck (MUI), Anichstrasse 35, 6020 Innsbruck, Austria

    Unité de Chirurgie Craniofaciale, Hôpital Necker Enfants Malades, Centre de Référence Maladies rares Dysostoses Craniofaciales, 149 rue de Sèvres, 75015 Paris, France
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Published:February 24, 2012DOI:https://doi.org/10.1016/j.bjps.2012.02.002
      with great interest I have read the article “Transzygomatic Kirshner Wire Fixation for the Treatment of Blowout Fracture.” by K Yasumura et al.
      • Yasumura K.
      • Mikami T.
      • Yabuki Y.
      • et al.
      MD Kirshner wire fixation for the treatment of blowout fracture.
      The authors share their experience in treating blowout fractures with a new technique using a transantral approach for bony repositioning and a stab incision in the cheek for Kirshner wire insertion through the zygomatic body into the maxillary sinus for pinpoint support. However, as the authors indicate, this antral approach is not always sufficient, e.g. if muscle entrapment is present an additional subciliary approach is warranted to release entrapment.
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      Reference

        • Yasumura K.
        • Mikami T.
        • Yabuki Y.
        • et al.
        MD Kirshner wire fixation for the treatment of blowout fracture.
        J Plast Reconstr Aesthet Surg. 2011;

      Linked Article

      • Transzygomatic Kirschner wire fixation for the treatment of blowout fracture
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 7
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          Total orbital floor reconstruction with sheet-shape materials is available for the treatment of extensive and crushed-type blowout fractures. Simple blowout fractures, on the other hand, require only manual reduction without fixation. Although several types of blowout fractures do not require total reconstruction, some fixation is usually necessary.
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