Endoscopic Endonasal Reconstruction of Blowout Fracture of the Medial Orbital Wall Using a n-shape 1 mm Thick Silastic Sheet and Filling up with Compressed Merocel(R) / 대한이비인후과학회지

ABSTRACT

In the reduction procedure of blowout fracture of the medial orbital wall, endoscopic endonasal reduction has become common ever since its introduction, due to its various advantages. However, it is difficult to carry out in patients with a narrow middle meatus due to nasal septal deformity and a paradoxically bent middle turbinate. Furthermore, it has difficulty when correcting up to the upper-medial wall adjacent to the cribriform plate. As endoscopic endonasal reduction was performed for the medial blowout fracture patients, we remedied the weak point of the existing surgical method known up to now, and carried out the reduction more simply by modifying it by inserting n-shape 1 mm thick silastic sheet and filling it up with compressed Merocel?. Thus, we would like to introduce this technique.