PURPOSE: To determine the surgical intervention time, which is most likely to achieve a high success rate for blowout @entity174 repair without implants and the usefulness of treatment with an intramaxillary sinus balloon. METHODS: Two hundred @entity1 with isolated fractures of the orbit were evaluated by the Hess screen test, the Hertel exophthalmometer, and coronal computed tomography of the orbit. Operative criteria included @entity892 within 30 degrees and @entity9577 >3 mm. An inferior lid incision approach was used to expose the orbital floor for realignment of bone fragments. Eighty of the @entity1 received a gingival incision, followed by an osteotomy to create a 10-mm opening into the maxillary sinus for placement of a @entity6619 -Teflon- @entity6619 balloon. RESULTS: The highest success rate, with @entity892 completely improved in 66% of the @entity1 , was observed when surgery was performed within 3 days after the injury. This success rate declined as surgical intervention was delayed. In 197 cases, @entity9577 was improved to <2 mm postoperatively for @entity1 who had surgery within 14 days. The balloon treatment was well tolerated and caused no complications. CONCLUSIONS: Surgery within 3 days is recommended in cases with @entity892 and @entity9577 . An intramaxillary sinus balloon treatment was useful for the cases with large @entity8924 that could cause latent @entity9577 .

Surgical outcome of blowout XXXX : early repair without implants and the usefulness of balloon treatment.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity9577 :: ('MESH:D015841', 'Disease') :: ['enophthalmos'] @entity8924 :: ('MESH:D009917', 'Disease') :: ['orbital floor fracture'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia'] @entity6619 :: ('MESH:D012825', 'Chemical') :: ['silicon']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
