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    Foley balloon placement for maxillofacial fractures [Maksillofasiyal kiriklarda foley kateter balonunun kullanimi.]
    (2006) Keleş B.; Oztürk K.; Arbag H.; Yaman H.; Cenik Z.
    OBJECTIVES: The aim of the study was to evaluate the effectiveness of maxillary sinus Foley balloon placement in patients with maxillofacial fractures. PATIENTS AND METHODS: This study included 38 patients (10 females, 28 males; mean age 29.1+/-11.6; range 9 to 49 years) in whom Foley balloon placement and gauze packing were performed for blow-out, orbitozygomatic, or maxillary fractures. Sex and age distributions, etiology of trauma, localization of fractures, management, intraoperative and postoperative complications were evaluated. RESULTS: Eighteen patients had blow-out fractures, 15 patients had orbitozygomatic fractures, and five patients had Le Fort II-III fractures of the maxilla. Preoperatively, enophthalmos, diplopia, limited ocular motility, and facial asymmetry were found in 28.9%, 26.3%,18.4% and 65.8%, respectively. Sufficient maxillary sinus patency was obtained in 32 patients (84.2%). Enophthalmos, diplopia, limited ocular motility, and facial asymmetry were found in 13.2%, 7.9%, 5.3%, and 18.4% in the postoperative period, respectively. CONCLUSION: Maxillary Foley balloon placement should be preferred in the blow-out, orbitozygomatic, and maxillary fractures because it supports the orbital floor and provides sufficient maxillary sinus patency.
  • Küçük Resim Yok
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    Penetrating zone II neck injury by broken windshield
    (2006) Ozturk K.; Keles B.; Cenik Z.; Yaman H.
    All penetrating neck wounds are potentially dangerous and require emergency treatment because there are important vessels, nerves and organs in the neck. We present the case of a patient who had an unusual penetrating neck injury caused by a broken windshield, noticed accidentally. Because fragments of windshield glass consist of sharp material, and the neck contains vital structures, such penetrating neck injury may cause life-threatening complications. Radiological examinations should be offered before the management of all neck wounds. The risk of retained foreign bodies and related complications can be prevented by using fluoroscopy during surgical exploration of the neck. © 2006 Blackwell Publishing Ltd and Medicalhelplines.com Inc.