[Experience with the treatment of blow-out fractures associated with pinching of the oculomotor nerve].

Observations of blow out fractures causing diplopy with m. rectus inf. pinching and their successful treatment are reported on. Importance of early recognizing and of correct diagnosis are emphasized. Because of the nature of injuries of such type and of the situation of traumatologic care the patients get mostly to traumatological, oral surgery departments where the troubles of eye movement are not always recognized since it can be eclipsed by an eyelid oedema or by periorbital haematoma. The surgeon is frequently confronted with an unsolvable task by relayed observation and forming cicatrization. Then, the healing results are significantly worse, than in our first case. In case of treating facial injuries the cooperation of the oculist, the laryngologist, the odontologist, the neurosurgeon is indispensable.