Endoscopic intranasal reduction of the orbit in isolated blowout fractures.
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| Title: | Endoscopic intranasal reduction of the orbit in isolated blowout fractures. |
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| Authors: | Jeon S (AUTHOR), Kwon JH (AUTHOR), Kim JY (AUTHOR), Ahn SK (AUTHOR), Park JJ (AUTHOR), Hur DG (AUTHOR), Seo SW (AUTHOR) |
| Source: | Acta Oto-Laryngologica (Supplement). Jul2007 Supplement 558, Vol. 127, p102-109. 8p. |
| Abstract: | Conclusion. Endoscopic intranasal reduction of the orbital floor with a detachable temporary balloon, or of the medial orbital wall with a silastic sheet and Merocel(R) packing, provided good functional results and definite advantages. We suggest that these techniques are another surgical alternative for isolated orbital floor or medial wall blowout fractures that do not accompany any associated fractures of the orbital rim. Objectives. Extended applications of endoscopic sinus surgery have reported endoscopic intranasal reduction or reconstruction of the orbital wall with good functional and cosmetic results. We present our experience with endoscopic intranasal reduction of the orbit in isolated orbital floor and/or medial wall blowout fractures, treated by reduction of the orbital floor with a detachable temporary balloon, or of the medial orbital wall with a silastic sheet and Merocel packing. Subjects and Methods. Floor reduction: After creating a wide middle meatal antrostomy, herniated orbital contents and fracture-displaced floor are mobilized and reduced. The orbital floor is supported by a saline filled balloon, which is connected with an infant feeding catheter and passed through the middle meatal antrostoma. After confirming the reduction of the orbital floor by postoperative CT, the catheter is ligated and cut in short to keep it in the nasal cavity. Medial wall reduction: After completing an intranasal ethmoidectomy, herniated orbital contents and fractured lamina papyracea are mobilized and reduced. The shape of the medial orbital wall is fixed by a silastic sheet and Merocel(R) packing saturated with an antibiotic solution. Surgery was performed when the eye function could be accurately assessed, usually at 7 to 10 days following the injury. Temporary supporting of the orbital wall with a detachable temporary balloon, or a silastic sheet and Merocel(R) packing was removed 4 weeks after surgery in the out-patient clinic. Results. We have experienced 40 cases of endoscopic intranasal reduction of the orbit in blowout fractures. CT scan confirmed isolated orbital floor fracture in 11 patients, isolated medial wall fracture in 17 patients, and combined fractures of the orbital floor and the medial wall in 12 patients. Twenty five patients had diplopia, 20 patients had limitation of eye movement, and 14 patients developed enophthalmos. Thirty three of the 40 patients recovered completely without any residual eye symptoms or complications. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Oto-Laryngologica (Supplement) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105749497 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Endoscopic intranasal reduction of the orbit in isolated blowout fractures. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Jeon+S%22">Jeon S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kwon+JH%22">Kwon JH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim+JY%22">Kim JY</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ahn+SK%22">Ahn SK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Park+JJ%22">Park JJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hur+DG%22">Hur DG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Seo+SW%22">Seo SW</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Oto-Laryngologica+%28Supplement%29%22">Acta Oto-Laryngologica (Supplement)</searchLink>. Jul2007 Supplement 558, Vol. 127, p102-109. 8p. – Name: Abstract Label: Abstract Group: Ab Data: Conclusion. Endoscopic intranasal reduction of the orbital floor with a detachable temporary balloon, or of the medial orbital wall with a silastic sheet and Merocel(R) packing, provided good functional results and definite advantages. We suggest that these techniques are another surgical alternative for isolated orbital floor or medial wall blowout fractures that do not accompany any associated fractures of the orbital rim. Objectives. Extended applications of endoscopic sinus surgery have reported endoscopic intranasal reduction or reconstruction of the orbital wall with good functional and cosmetic results. We present our experience with endoscopic intranasal reduction of the orbit in isolated orbital floor and/or medial wall blowout fractures, treated by reduction of the orbital floor with a detachable temporary balloon, or of the medial orbital wall with a silastic sheet and Merocel packing. Subjects and Methods. Floor reduction: After creating a wide middle meatal antrostomy, herniated orbital contents and fracture-displaced floor are mobilized and reduced. The orbital floor is supported by a saline filled balloon, which is connected with an infant feeding catheter and passed through the middle meatal antrostoma. After confirming the reduction of the orbital floor by postoperative CT, the catheter is ligated and cut in short to keep it in the nasal cavity. Medial wall reduction: After completing an intranasal ethmoidectomy, herniated orbital contents and fractured lamina papyracea are mobilized and reduced. The shape of the medial orbital wall is fixed by a silastic sheet and Merocel(R) packing saturated with an antibiotic solution. Surgery was performed when the eye function could be accurately assessed, usually at 7 to 10 days following the injury. Temporary supporting of the orbital wall with a detachable temporary balloon, or a silastic sheet and Merocel(R) packing was removed 4 weeks after surgery in the out-patient clinic. Results. We have experienced 40 cases of endoscopic intranasal reduction of the orbit in blowout fractures. CT scan confirmed isolated orbital floor fracture in 11 patients, isolated medial wall fracture in 17 patients, and combined fractures of the orbital floor and the medial wall in 12 patients. Twenty five patients had diplopia, 20 patients had limitation of eye movement, and 14 patients developed enophthalmos. Thirty three of the 40 patients recovered completely without any residual eye symptoms or complications. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Oto-Laryngologica (Supplement) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 102 Titles: – TitleFull: Endoscopic intranasal reduction of the orbit in isolated blowout fractures. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Jeon S – PersonEntity: Name: NameFull: Kwon JH – PersonEntity: Name: NameFull: Kim JY – PersonEntity: Name: NameFull: Ahn SK – PersonEntity: Name: NameFull: Park JJ – PersonEntity: Name: NameFull: Hur DG – PersonEntity: Name: NameFull: Seo SW IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2007 Supplement 558 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 03655237 Numbering: – Type: volume Value: 127 Titles: – TitleFull: Acta Oto-Laryngologica (Supplement) Type: main |
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