Orbital Floor Reconstruction through Endoscopic Transnasal Approach Alone
Archives of Craniofacial Surgery
;
: 99-103, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-12358
ABSTRACT
PURPOSE:
Many surgical methods for reconstruction of orbital floor fracture have been reported, which include subciliary approach, transconjunctival approach, transantral and transnasal endoscopic approach, etc. The purpose of this study is to demonstrate a surgical technique and analyze the results of transnasal endoscopic approach with Foley catheter ballooning without implantation of artificial surgical material through subciliary approach.METHODS:
Between February 2007 and November 2010, 29 orbital floor fracture patients, who had no herniated muscles through bone fragments, were treated through transnasal endoscopic approach with Foley catheter ballooning. Under the endoscopic view, the operator identified the opening of maxillary sinus. After widening of the opening using forceps, the operator reduced the fragmented bone with curved suction tip. Thereafter, 18-Fr Foley catheter was inserted. Four weeks after the operation, the catheter was removed.RESULTS:
Preoperatively, 6 patients had diplopias, 4 patients had limitations of extraocular motions and 3 patients had enophthalmos. After removal of the Foley catheter 4 weeks after the operation, 2 patients had diplopias, 1 patient had a limitation of extraocular motion, 1 patient has an enophthalmos and 1 patient had numbness on the cheek. These symptoms were resolved about 6 months after the surgery.CONCLUSION:
The operative technique of Foley catheter ballooning through transnasal endoscopic approach without implantation of the artificial surgical material through subciliary approach can be considered one of the appropriate techniques for orbital floor fracture.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Órbita
/
Fraturas Orbitárias
/
Sucção
/
Instrumentos Cirúrgicos
/
Enoftalmia
/
Bochecha
/
Diplopia
/
Endoscopia
/
Catéteres
/
Pisos e Cobertura de Pisos
Limite:
Humanos
Idioma:
Coreano
Revista:
Archives of Craniofacial Surgery
Ano de publicação:
2012
Tipo de documento:
Artigo
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