Main Article Content
Abstract
Maxillofacial trauma is frequently encountered in emergency departments. Approximately 40% of orbital fractures are associated with concomitant maxillofacial fractures. Blowout fractures often result in both aesthetic and functional impairments. Clinical manifestations may include enophthalmos, hypoglobus, diplopia, ocular motility disorders, and visual disturbances. Optimal reconstruction is recommended within 14 days after trauma to prevent long-term sequelae. We reported a 24-year-old male patient diagnosed with a closed nasal bone fracture, deviated nasal septum, and orbital blowout fracture, with a month delayed since injury. The patient underwent endoscopic septorhinoplasty and orbital floor reconstruction utilizing a titanium plate and screw fixation. Proper and timely management of blowout fractures leads to satisfactory functional and aesthetic outcomes while significantly reducing the risk of permanent deformities. Delayed management of blowout fractures presents several challenges, including identifying orbital soft-tissue involvement, determining the optimal timing for intervention, and selecting appropriate implant materials. Clinical recommendations emphasize the importance of CT imaging and an integrated multidisciplinary approach involving ENT, ophthalmology, and radiology specialists to achieve the best possible functional and aesthetic outcomes for the patient.
Keywords
Article Details
Copyright (c) 2026 Al Hafiz, Dwi Tika Septiany
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish in the Jurnal Kedokteran dan Kesehatan Indonesia agree to the following terms:
- Authors retain copyright and grant Jurnal Kedokteran dan Kesehatan Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution Licence that allows others to adapt (remix, transform, and build) upon the work non-commercially with an acknowledgement of the work's authorship and initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
- Authors are permitted to share (copy and redistribute) the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.