Endoscopic endonasal repair of orbital floor fracture

Katsuhisa Ikeda, Hideaki Suzuki, Takeshi Oshima, Tomonori Takasaka

Research output: Contribution to journalArticlepeer-review

55 Citations (Scopus)

Abstract

Background: High-resolution endoscopes and the advent of endoscopic instruments for sinus surgery provide surgeons with excellent endonasal visualization and access to the orbital walls. Objective: To demonstrate repair of orbital floor blowout fractures through an intranasal endoscopic approach that allows repair of the orbital floor fracture and elevation of the orbital content using a balloon catheter without an external incision. Design: This study was a retrospective analysis of 11 patients who underwent surgical repair of orbital floor fractures from September 1994 to June 1997. There were 10 male patients anti 1 female patient, aged 12 to 32 years (mean age, 24 years). These patients had undergone primary repair of pure orbital blowout fractures and were followed up at least 6 months after surgery. Results: There were no intraoperative or postoperative complications. Nine patients showed a complete improvement of their diplopia. Two patients with posterior fractures showed persistent diplopia, which was well managed by prisms. Conclusion: Endoscopic repair of the orbital floor blowout fracture using an endonasal approach appears to be a safe and effective technique for the treatment of diplopia.

Original languageEnglish
Pages (from-to)59-63
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume125
Issue number1
DOIs
Publication statusPublished - 1999 Jan

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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