Assessing effectiveness of endoscope-assisted medial orbital wall fracture repair vs. no surgery using benefit-risk metrics and literature review

Pitak‐Arnnop, Poramate; Witohendro, Levyn Kay; Tangmanee, Chatpong; Subbalekha, Keskanya; Sirintawat, Nattapong; Neff, Andreas; Méningaud, Jean-Paul

doi:10.1016/j.jormas.2022.08.010

Cited by 6 publications

(1 citation statement)

References 34 publications

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“…[21][22][23] Nevertheless, others believe that these fractures are undertreated and require operative repair to prevent late onset enophthalmos. 24,25 It has been our experience at a busy level 1 trauma center that compared with orbital floor fractures, medial wall fractures less frequently present with or develop enophthalmos or hypoglobus.…”

Section: Discussionmentioning

confidence: 99%

Large Medial Orbital Wall Fracture in the Setting of Prior Functional Endoscopic Sinus Surgery

Ovadia

Harshbarger

2023

FACE

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Functional endoscopic sinus surgery (FESS) is performed as a treatment for refractory sinusitis. Ethmoidectomy is a component of FESS. In performing ethmoidectomy, the septa that are believed to buttress the medial orbital wall are removed. The impact of endoscopic sinus surgery upon orbital biomechanics have been studied in a cadaver model. These studies have demonstrated increased likelihood of medial orbital wall fracture in a cadaver model. In this report, the authors present the case of a patient who sustained facial trauma with a history of prior FESS. She developed a large medial orbital wall fracture and nondisplaced floor fracture. Reconstruction was successfully performed with an alloplastic implant. Despite increasing numbers of FESS operations performed, there is limited evidence in the literature regarding orbital fracture in patients with a history of FESS. This case provides support for the findings of the recent cadaver studies.

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