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Richard C. Schultz, MD
University of Illinois College of Medicine Chicago

JAMA. 1985;254(2):230-231.

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In Reply.—

Several of the respondents criticized the scope of the manuscript. This particular review article could not possibly include all ophthalmologic, otolaryngologic, and neurological injuries. We presented instead a brief overview of common maxillofacial injuries in the athlete. A more comprehensive presentation will be available later this year in a textbook on sports injuries edited by Kenneth DeHaven, MD. In one publication we have combined our efforts with other specialists from otolaryngology, oral surgery, and ophthalmology to give a more comprehensive review of these injuries.

The letter by Dr Wesley refers to the controversy surrounding the treatment of orbital floor fractures. Although some authors favor nonoperative management, we prefer early exploration and repair of orbital blowout fractures. This approach reduces the long-term sequelae such as diplopia and enophthalmos and restores the continuity of the orbital floor. Early intervention minimizes the fibrosis and shortening of extraocular muscles and globe-supporting septa . . . [Full Text PDF of this Article]

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