Management of isolated orbital floor blow-out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons

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Management of isolated orbital floor blow-out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons
Issue online:
04 Feb 2004
To cite this article: Anthony J Lynham FRCS FRACDS(OMS), Patrick J Chapman MDS(OMS), Frank NT Monsour MDS(OMS) PhD, Leslie Snape FRCS FFDRCS, David J Courtney FRCS(OMFS), Andrew A Heggie FRACDS(OMS), Robert H Jones FRACDS(OMS), Geoffrey M McKellar FRACDS(OMS) (2004)
Management of isolated orbital floor blow-out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons
Clinical & Experimental Ophthalmology 32 (1), 42Ò45.
doi:10.1046/j.1442-9071.2004.00755.x
Blackwell Synergy

Anthony J Lynham FRCS FRACDS(OMS) 11Maxillofacial Unit, Royal Brisbane Hospital, Brisbane, Queensland, , Patrick J Chapman MDS(OMS) 11Maxillofacial Unit, Royal Brisbane Hospital, Brisbane, Queensland, , Frank NT Monsour MDS(OMS) PhD 11Maxillofacial Unit, Royal Brisbane Hospital, Brisbane, Queensland, , Leslie Snape FRCS FFDRCS 22Oral and Maxillofacial Unit, Christchurch Hospital, Christchurch, New Zealand, and , David J Courtney FRCS(OMFS) 33Oral and Maxillofacial Unit, Derriford Hospital, Plymouth, UK, Andrew A Heggie FRACDS(OMS) 44Oral and Maxillofacial Unit, Royal Children's Hospital, Melbourne, Victoria, , Robert H Jones FRACDS(OMS) 55Oral and Maxillofacial Surgery Unit, University of Adelaide, Adelaide, South Australia, and and Geoffrey M McKellar FRACDS(OMS) 66Oral and Maxillofacial Unit, Westmead Hospital, Sydney, New South Wales, Australia,

Correspondence: Dr Anthony J Lynham, Maxillofacial Unit, Royal Brisbane Hospital, Herston, Qld 4029, Australia. Email: a.lynham@uq.edu.au

Abstract

Background: This is the first report of involvement of Australian and New Zealand oral and maxillofacial surgeons in the management of isolated orbital floor blow-out fractures and was conducted to obtain comparisons with the results from a recent similar survey of British oral and maxillofacial surgeons.

Methods: A questionnaire survey was sent to all 113 practising members of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons in April 2002 with a second mailout 1 month later.

Results: Sixty-nine per cent of the respondents were referred isolated orbital floor blow-out fractures for manage?ment, and just over half of these respondents estimated that 50% or more of the cases went to surgery. The materials most commonly used in orbital floor reconstruction were resorbable membrane for small defects and autologous bone for large defects.

Conclusion: As in Britain, management of isolated orbital floor blow-out fractures comprises part of the surgical spectrum for many oral and maxillofacial surgeons in Australia and New Zealand. The management protocol was observed to be very similar between the two groups.

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