Endoscopic approach to orbital blowout fracture repair

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Transconjunctival and subciliary approaches to orbital floor blowout fractures (OBF) have known risks of postoperative eyelid malposition. This study evaluates the endoscopic transmaxillary repair of OBFs in a cadaveric model and clinical setting. Sixteen cadaveric and 10 clinical OBFs were repaired endoscopically. A Caldwell-Luc approach and modified sinus surgery instrumentation were used to repair each fracture. Variations in fracture pattern, instrumentation, and surgical technique were evaluated. Endoscopic repair was achieved in all 16 cadaveric orbits and in 9 of 10 patients. Fracture patterns were classified as either medial or lateral to the infraorbital nerve. Average clinical operating time was 1:38. Of 9 postoperative CT scans, 5 were rated as excellent, 3 as good, and 1 as poor. The endoscopic transmaxillary approach is a safe, viable technique for OBF repair. It offers improved visualization, anatomic fracture repair, no risk of postoperative eyelid complications, and good clinical results. EBM rating: C.

Original languageEnglish (US)
Pages (from-to)683-695
Number of pages13
JournalOtolaryngology - Head and Neck Surgery
Volume131
Issue number5
DOIs
StatePublished - Nov 2004

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Orbital Fractures
Eyelids
Orbit

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Endoscopic approach to orbital blowout fracture repair. / Strong, E Bradley; Kim, Kenneth K.; Diaz, Rodney C.

In: Otolaryngology - Head and Neck Surgery, Vol. 131, No. 5, 11.2004, p. 683-695.

Research output: Contribution to journalArticle

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