Endoscopic intranasal reduction of the orbit in isolated blowout fractures

Jeon, Sea‐Yuong; Kwon, Jae Hwan; Kim, Jin Pyeong; Ahn, Seong Ki; Park, Jung Je; Hur, Dong Gu; Seo, Seong Wook

doi:10.1080/03655230701624962

Cited by 17 publications

(12 citation statements)

References 10 publications

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“…A similar procedure using a detachable balloon catheter to support the orbital floor or medial wall after a blow out fracture of the orbit has been reported in people. [15][16][17] Similar to the results in these reports, no adverse effects were observed in our case with leaving these devices in place for 3 weeks. Two devices were used in this case as it allowed for precise placement for fracture support.…”

Section: Discussionsupporting

confidence: 90%

“…A unique aspect of this case was the use of the breast implant sizer and tissue expander placed in the right conchofrontal sinus to maintain the medial wall and floor, respectively, of the right orbit while they formed a fibrous union with surrounding tissues. A similar procedure using a detachable balloon catheter to support the orbital floor or medial wall after a blow out fracture of the orbit has been reported in people . Similar to the results in these reports, no adverse effects were observed in our case with leaving these devices in place for 3 weeks.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Reconstruction of a Complicated Orbital Depression Fracture with Medial Wall and Globe Repositioning in a Horse: A Collaboration Across Disciplines and Specialties

et al. 2016

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Reconstruction of a Complicated Orbital Depression Fracture with Medial Wall and Globe Repositioning in a Horse: A Collaboration Across Disciplines and Specialties

et al. 2016

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“…Nine studies 1,2,5,[8][9][10][11][12][13] met the criterion for inclusion in the systematic review; 2 were comparative studies comparing the endoscopic with the external approach and 7 were case series ( Table 1). All studies were retrospective except for 1 case series.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Endoscopic Management of Orbital Floor Fractures

Cheung

Voineskos

Avram

et al. 2013

JAMA Facial Plast Surg

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To determine the safety and efficacy of the endoscopic management of isolated orbital floor fractures.Methods: A systematic review was performed using electronic databases. Studies investigating the reconstruction of isolated orbital floor fractures using an endoscopic approach were considered for inclusion. Two investigators independently reviewed all results. Study quality was assessed using the Methodological Index for Nonrandomized Studies scale. Primary outcomes were the resolution of diplopia and enophthalmos. Secondary outcomes were postoperative complications, including blindness, paresthesias, sinusitis, infection, conversion to external approach, and need for revision surgery.Results: Nine studies capturing 172 patients met the inclusion criteria for systematic review. Two studies were comparative and 7 were case series. Study quality was poor, lacking prospective data and reliable assessment of outcomes. Strong reviewer agreement was observed (intraclass correlation, 84%; 95% CI, 35%-96%). Diplopia resolved in 102 of 118 patients (86%) and enophthalmos resolved in 41 of 43 (95%). No complications of blindness, sinusitis, or conversion to external approach were reported. Thirteen patients (8%) had transient cheek numbness. Two patients (1%) required revision surgery.Conclusions: Reconstruction of isolated orbital floor fractures through an endoscopic approach appears to be safe and effective. High-level evidence prospectively comparing endoscopic and external approaches, however, is lacking.

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“…However, such early removal can lead to recurrent prolapse of the orbital contents [13]. Jeon et al [20] used their original detachable balloon connected to an infant feeding catheter. The balloon was inserted into the maxillary sinus after endoscopic intranasal reduction, and the connecting tube was placed in the nasal cavity after shortening it.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic transmaxillary repair of orbital floor fractures: A minimally invasive treatment

Soejima

Shimoda

Kashimura

et al. 2013

Journal of Plastic Surgery and Hand Surgery

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Although endoscopic transmaxillary repair of orbital floor fractures is a minimally invasive treatment, controversy remains regarding the method for supporting the orbital floor after elevation of the orbital contents. To date, a urethral balloon catheter has been widely used. However, it can be difficult to leave the catheter in place for a long time period due to the inconvenience, and prolapse of the orbital contents may recur in the case of its premature removal. This study described the techniques for endoscopic reduction and use of a balloon for orbital floor fractures. From June 2006 through November 2011, 30 of 52 patients (57.7%) with an isolated orbital floor fracture underwent endoscopic transmaxillary repair. A maxillary sinus balloon (#3007, Koken Co., Japan) was inserted into the maxillary sinus to support the orbital floor after endoscopic transmaxillary reduction, and the connecting tube of the balloon was pulled into the nasal cavity through the maxillary ostium. After confirmation of accurate reduction by postoperative CT, the connecting tube was shortened and hidden in the nasal cavity. The balloon was left in place for 4-8 weeks, and then removed via the maxillary ostium on an outpatient basis. Complete resolution of the preoperative diplopia was achieved in 93%, and no late-developing enophthalmos was seen in 97% of the patients. There were no significant complications. This technique is safe and permits prolonged retention of the balloon, without interfering with daily life.

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Endoscopic intranasal reduction of the orbit in isolated blowout fractures

Cited by 17 publications

References 10 publications

Reconstruction of a Complicated Orbital Depression Fracture with Medial Wall and Globe Repositioning in a Horse: A Collaboration Across Disciplines and Specialties

Reconstruction of a Complicated Orbital Depression Fracture with Medial Wall and Globe Repositioning in a Horse: A Collaboration Across Disciplines and Specialties

A Systematic Review of the Endoscopic Management of Orbital Floor Fractures

Endoscopic transmaxillary repair of orbital floor fractures: A minimally invasive treatment

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