Endoscopic Orbital Fracture Repair

Mohadjer, Yasaman; Hartstein, Morris E.

doi:10.1016/j.otc.2006.06.002

Cited by 22 publications

(9 citation statements)

References 15 publications

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“…An endonasal approach to orbital fractures provides the surgeon with excellent visualisation of the fracture site, precise and complete reduction of herniated orbital soft tissues, and cosmetic advantages (as an external incision is avoided). 1,2 The means of supporting the medial orbital wall following a blowout fracture is controversial. A variety of materials have been proposed for support of the orbital contents.…”

Section: Discussionmentioning

confidence: 99%

“…Many authors have recommended fixing the medial orbital wall with an inverted U shaped Silastic sheet and Merocel packing. 2,6 The possible complications of this procedure are few, but may include damage to ocular muscles and the optic nerve, intraorbital haematoma, and CSF leakage similar to that seen following transorbital procedures. None of these theoretical possibilities has been reported to date, underlining the good safety profile of the technology involved.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] It has been shown to substantially reduce operative time, soft tissue manipulation and haemorrhage, as well as completely eliminating the potential complications associated with an external surgical approach.…”

Section: Introductionmentioning

confidence: 99%

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Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures

et al. 2012

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“…Endoscopy can also be used in orbital fracture repair, particularly in posterior floor fractures, fractures with a limited posterior shelf, secondary repairs for residual enophthalmos, or medial orbital wall fractures. 25 Endoscopy allows for an up close and magnified view of the posterior fracture edge that may be otherwise difficult to visualize. In some cases, all edges of the fracture may be more easily identified with an intraorbital endoscope.…”

Section: Endoscopic Fracture Repairmentioning

confidence: 99%

Novel surgical approaches to the orbit

Campbell¹,

Grob²,

Yoon³

2015

Middle East Afr J Ophthalmol

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Determining safe surgical access to the orbit can be difficult given the complex anatomy and delicacy of the orbital structures. When considering biopsy or removal of an orbital tumor or repair of orbital fractures, careful planning is required to determine the ideal approach. Traditionally, this has at times necessitated invasive procedures with large incisions and extensive bone removal. The purpose of this review was to present newly techniques and devices in orbital surgery that have been reported over the past decade, with aims to provide better exposure and/or minimally invasive approaches and to improve morbidity and/or mortality.

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“…This approach permits direct access to and repair of the fractured site. However, it has a limitation in terms of surgical exploration of the posterior aspect of the orbit due to the risk of damaging the optic nerve [2]. On the other hand, subciliary and transconjunctival approaches have high incidences of cosmetic complications [3].…”

Section: Introductionmentioning

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 Orbital Fracture Repair

Cited by 22 publications

References 15 publications

Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures

Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures

Novel surgical approaches to the orbit

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

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