Ocular Motility After Repair of Combined Medial and Inferior Orbital Wall Fractures With Extended Conjunctival Incision With Inferior Oblique Reattachment

Ahn, Jung Hyo; Jung, Jae Ho; Choi, Hee Young

doi:10.1097/scs.0000000000002695

Cited by 4 publications

(14 citation statements)

References 16 publications

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“…In contrast, in our previous study, 10% of patients who underwent IOM reattachment experienced binocular double vision, which did not resolve. 9 The function of IOM has not been properly described in these previous reports. In this study, we found evidence of IOM underaction in the ocular motility and Hess test in six (30%) patients who underwent IOM reattachment.…”

Section: Discussionmentioning

confidence: 92%

“…Seventeen and 23 patients had right and left orbital wall fractures, respectively. The mean follow-up visit was 9 ± 3.47 months (range, [6][7][8][9][10][11][12][13][14][15][16][17]. Patients showed enophthalmos of -1.46 ± 0.25 (range, -5 to 3) mm compared with the normal side.…”

Section: Resultsmentioning

confidence: 99%

“…The same surgical techniques were used in both groups, except for the manipulation of the IOM at the end of the surgery, as described previously. 9 …”

Section: Methodsmentioning

confidence: 99%

“…The same surgical techniques were used in both groups, except for the manipulation of the IOM at the end of the surgery, as described previously. 9 All procedures were performed under general anaesthesia. After inserting a corneal protector, transconjunctival and retro-caruncular incisions were made using electrocautery without lateral canthotomy.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Thus, when the extent of the fracture is large, surgery should be performed with the goal of overcorrection by approximately 1 mm in comparison with the fellow eye. 9,12 Diplopia occurred in patients with IOM weakening. No factors related to diplopia were discovered in this study; however, we found important factors associated with IOM weakening, such as preoperative strabismus and preoperative EOM limitation.…”

mentioning

confidence: 99%

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Clinical Results According to Inferior Oblique Manipulation in Patients with Inferomedial Blowout Fracture Involving the Orbital Strut

Park

Choi

2022

OPTH

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Background: Detachment of the inferior oblique muscle may be necessary under certain circumstances to repair a large inferomedial orbital fracture involving the orbital strut. This study aimed to evaluate the outcomes of patients who underwent surgeries with and without inferior oblique muscle reattachment after its detachment to repair the orbital wall fractures. Methods: Forty patients who underwent repair of combined floor and medial orbital wall fracture involving the orbital strut at a single tertiary institution between January 2014 and December 2020 were reviewed. Groups 1 and 2 comprised 20 patients each, who underwent surgery with inferior oblique muscle detachment without and with reattachment, respectively, and were followed up for at least 6 months postoperatively. Enophthalmos, Goldmann diplopia test, alignment test, ocular motility test, and orbital inferomedial angle ratio were the outcome measures. Results: Statistically significant improvement was observed in ocular motility, diplopia, and enophthalmos postoperatively at the 1and 6-month follow-up (p < 0.01). The mean postoperative inferomedial angle ratio (102.28 ± 10.62%) was improved significantly compared with the preoperative inferomedial angle ratio (115.61 ± 4.38%) (p = 0.004) in all patients. After surgery, inferior oblique muscle underaction was observed in seven and six patients in groups 1 and 2, respectively, which was associated with preoperative extraocular movement limitation and strabismus. Two patients showed diplopia in both groups at the last follow-up; they had inferior oblique muscle underaction but no enophthalmos. Conclusion: Orbital fracture repair with or without inferior oblique muscle reattachment was clinically effective and safe; however, patients with preoperative strabismus and extraocular motility limitation should be informed of the increased risk of postoperative complications.

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Section: Discussionmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

“…The same surgical techniques were used in both groups, except for the manipulation of the IOM at the end of the surgery, as described previously. 9 …”

Section: Methodsmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Clinical Results According to Inferior Oblique Manipulation in Patients with Inferomedial Blowout Fracture Involving the Orbital Strut

Park

Choi

2022

OPTH

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Reconstruction of medial orbital wall using a retrocaruncular approach

Pedemonte

Muñoz

Valenzuela

et al. 2018

Journal of Cranio-Maxillofacial Surgery

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Removal of an Intraosseous Venous Malformation of the Maxilla via a Transoral-transconjunctival-Transcaruncular Approach

Kamboj

Caruana

Winn

2023

Plastic and Reconstructive Surgery - Global Open

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Summary: Intraosseous vascular anomalies represent less than 1% of all bony tumors. When they involve the maxillofacial skeleton, these masses may cause substantial morbidity and aesthetic concern. Herein, we highlight a case of a maxillary intraosseous venous malformation manifesting as functional lacrimal duct obstruction with epiphora, sinus pressure, and increasing medial canthal/maxillary fullness over 2 years in a young, healthy woman. Surgical excision of the lesion was accomplished without a skin incision by coupling a transoral, midface degloving technique with a transconjunctival–transcaruncular approach. This minimally invasive technique led to complete resolution of symptoms and a satisfactory cosmetic outcome, without a cutaneous scar.

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Ocular Motility After Repair of Combined Medial and Inferior Orbital Wall Fractures With Extended Conjunctival Incision With Inferior Oblique Reattachment

Cited by 4 publications

References 16 publications

Clinical Results According to Inferior Oblique Manipulation in Patients with Inferomedial Blowout Fracture Involving the Orbital Strut

Clinical Results According to Inferior Oblique Manipulation in Patients with Inferomedial Blowout Fracture Involving the Orbital Strut

Reconstruction of medial orbital wall using a retrocaruncular approach

Removal of an Intraosseous Venous Malformation of the Maxilla via a Transoral-transconjunctival-Transcaruncular Approach

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