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Jahrestagung der Vereinigung Westdeutscher Hals-Nasen-Ohren-Ärzte 2019

29.03. - 30.03.2019, Neuss

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Endoscopic Treatment of Medial Orbital Wall Fractures

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  • corresponding author presenting/speaker Elidon Mici - ENT Department, RWTH Aachen University Hospital, Aachen, Germany
  • author Evaristo Belli - Maxillofacial Surgery Department. Sant’Andrea Hospital, Sapenza University, Rome, Italy
  • author Thien An Duong Dinh - ENT Department, RWTH Aachen University Hospital, Aachen, Germany
  • author Martin Westhofen - ENT Department, RWTH Aachen University Hospital, Aachen, Germany

Vereinigung Westdeutscher HNO-Ärzte. Jahrestagung der Vereinigung Westdeutscher Hals-Nasen-Ohren-Ärzte. Neuss, 29.-30.03.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc56

doi: 10.3205/19wdhno56, urn:nbn:de:0183-19wdhno561

Published: February 6, 2019

© 2019 Mici et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Introduction: Isolated medial wall fractures are easily missed under clinical assessment, and those cases necessitating surgery are relatively rare. In the last decades, diagnostic imaging, surgical techniques, availability of alloplastic materials, as well as evolution of surgical instruments have resulted in major progress in the management of orbital fractures. The aim of the present study is to focus on changes in the management of orbital medial wall fractures.

Methods: From December 2010 to July 2018, 25 patients were treated in our Departments for pure isolated medial orbital wall fractures. All patients underwent thin slice-CT and assessment by an Ophthalmologist. All were treated with an endonasal endoscopic approach.

Results: All patients had a satisfying result. No complications occurred. No case of diplopia or retrobulbar bleeding occurred. No external incision was needed. The patients were discharged after 24 hours following their operation.

Discussion: Endoscopic repair of medial wall orbital fractures represents an innovative and highly successful and safe alternative. It has an indication in pure isolated medial wall fracture. There is no need for face incisions so there is no risk of aesthetic complications. However, the procedure requires adequate instrumentation as well as a surgeon experienced in endoscopic endonasal surgery.

Outline

References

1.
Jin HR, Shin SO, Choo MJ, Choi YS. Endonasal endoscopic reduction of blowout fractures of the medial orbital wall. J Oral Maxillofac Surg. 2000 Aug;58(8):847-51.
2.
Mun GH1, Song YH, Bang SI. Endoscopically assisted transconjunctival approach in orbital medial wall fractures. Ann Plast Surg. 2002 Oct;49(4):337-43.
3.
Lee HM, Han SK, Chae SW, Hwang SJ, Lee SH. Endoscopic endonasal reconstruction of blowout fractures of the medial orbital walls. Plast Reconstr Surg. 2002 Mar;109(3):872-6.