[Treatment of fractures of the orbit floor by a double-route approach with eventual use of a bone graft].
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Biomedical subjects
Publications and source records attributed to J P Lintzer.
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Orbital floor fractures present an urgent motive for consulting both the ophthalmologist and the ENT surgeon. A complete surgical exploration, with a double approach, allows manual and visual control. Therefore, the floor is repaired in the best conditions with the use of a graft from the anterior wall of the maxilla. Thirty cases are presented here with a follow-up of three to five years. The object of this study is to show the necessity of cooperation between the ENT surgeon and the ophthalmologist, and the advantages of the double-sided approach. The technique gives an excellent view of the lesion, allows a sound anatomical repair with a graft taken through a Caldwell-Luc approach. On the whole, the results of this series, started in 1976, are very satisfactory.
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Auricular accidents provoqued by lightning and induced by telephone are extremely rare. The authors of this paper relate the case of a young lady suffering from an inflammation of the external auditive canal and of an irritation of the tympanic membrane with an perception's hypacusis of 30 db. A physiological explanation is proposed and two factors come into account:--The acoustic traumatism induced by the thunder;--The burn produced by the electrical current.