Endoscopic transnasal approach and intraoperative navigation for the treatment of isolated blowout fractures of the medial orbital wall

Copelli, Chiara; Manfuso, Alfonso; D’Ecclesia, Aurelio; Catanzaro, S.; Cassano, Lazzaro; Pederneschi, N.; Tewfik, Karim; Cocchi, R

doi:10.1016/j.jcms.2015.10.007

Cited by 18 publications

(14 citation statements)

References 18 publications

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“…Major reported drawback is the difficulty in managing the reconstruction phase. [4] Complications such as infection of the surgical site or sinusitis caused by the obstruction of the sinus ostium can be avoided by a careful insertion of a silastic sheet, the early removal of nasal tampons, and the administration of antibiotics. [17]…”

Section: Discussionmentioning

confidence: 99%

“…The nasal packing can be managed in different ways: from the removal of the day after the intervention to the removal of 3 or 4 weeks under local anesthesia[421] and till no needs of secondary procedures in case of use of absorbable packing materials. [22]…”

Section: Discussionmentioning

confidence: 99%

“…[2] Later, different approaches have been reported, such as transcaruncular approach, transconjunctival incision, and inferior or superior eyelid incision. [34] Major drawbacks of these techniques are the esthetic outcome and the limited exposure of the fracture site.…”

Section: Introductionmentioning

confidence: 99%

“…[3] Since its introduction, the endoscope has become an indispensable instrument for endonasal surgery. [4] Nowadays, this surgical treatment can be performed under local or general anesthesia, depending on fracture and patient status. [5]…”

Section: Introductionmentioning

confidence: 99%

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Transnasal endoscopic approach for the treatment of medial orbital wall fractures

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Ciorba

et al. 2019

Ann Maxillofac Surg

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The aim of this study is to report a case series of blowout fractures of the medial orbital wall that were treated endoscopically. Isolated fractures of the medial orbital wall are uncommon and can be asymptomatic. Various surgical methods for repairing medial orbital wall fractures have been described. The standard approach for the treatment of medial orbital wall fractures is the transcutaneous approach or the transconjunctival with retrocaruncular approach. In the last years, the attention on the use of minimally invasive techniques such as transnasal endoscopic approach is growing. This was a retrospective study of six cases completely managed endoscopically. In the presented case series, the endoscopic endonasal approach represented a safe and effective procedure for the reduction of medial wall orbital fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transnasal endoscopic approach for the treatment of medial orbital wall fractures

Bonsembiante

Valente

Ciorba

et al. 2019

Ann Maxillofac Surg

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“…Other authors have proposed their case series of transnasal management of medial wall fractures with (Copelli and colleagues) or without (Pagnoni and colleagues) the aid of navigation. These authors, however, did not reconstruct the bony wall and relied upon long‐term nasal packing (2–3 weeks) to obtain the desired correction.…”

Section: Discussionmentioning

confidence: 99%