Intranasal endoscopy-assisted repair of medial orbital wall fractures. Arch Facial Plast Surg 2000;2(4):269-73
Date
11/14/2000Pubmed ID
11074723DOI
10.1001/archfaci.2.4.269Scopus ID
2-s2.0-0034295488 (requires institutional sign-in at Scopus site) 26 CitationsAbstract
The repair of medial orbital blow-out fractures remains a challenging surgical procedure for most surgeons. Endoscopic intranasal visualization of the medial orbital wall or lamina papyracea is a technique familiar to most otolaryngologists. This endoscopic view would allow for confirmation of orbital content reduction and bimanual manipulation of an orbital implant. To determine the effectiveness of a new surgical technique, a cadaveric study was performed to evaluate the ability to (1) reduce the herniated orbital contents and (2) restore the normal anatomic orbital configuration and volume with the addition of an orbital implant. Excellent visualization of the fracture was achieved in all cadaveric specimens. In addition, endoscopic intranasal visualization of the medial orbital wall greatly facilitated the anatomic reduction of orbital contents and proper placement of the orbital implant. The surgical technique is described and a clinical case is reported in which this endoscopic technique was effectively used. Arch Facial Plast Surg. 2000;2:269-273
Author List
Rhee JS, Lynch J, Loehrl TAAuthors
Todd A. Loehrl MD Professor in the Otolaryngology department at Medical College of WisconsinJohn S. Rhee MD Chair, Professor in the Otolaryngology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultCadaver
Diplopia
Dissection
Endoscopy
Humans
Male
Ophthalmologic Surgical Procedures
Orbital Fractures
Orbital Implants
Tomography, X-Ray Computed
