[Treatment of fractures of the floor of the orbit with a double approach. Apropos of 30 cases].

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.