J Rhinol.  2014 May;21(1):51-54. 10.0000/jr.2014.21.1.51.

2 Cases of Reduction of Orbital Floor Fracture Using Fibrin Glue for Securing Bioresorbable Panel

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea, Republic. drnaked@naver.com

Abstract

Many surgical methods for the reconstruction of orbital floor fractures have been reported, and theseinclude transorbital, transantral and transnasal endoscopic approaches, among others. The choice of surgical approach and materials for the reduction of orbital blowout fractures depends on the surgeon's experience and preference. For the cases of large orbital floor fractures, reduction has beenperformed most frequently through the transantral approach, and the herniated orbital tissue generally has been supported by asilastic block, silastic tube or urethral balloon catheter. However, the transantral approach has significant drawbacks that includethe requirement of removal surgery, displacement of materials, and inflammation of the maxillary sinus. To overcome these negative effects, the authors used fibrin glue tosecure the reduction through the transantral approach in two cases of patients with orbital floor fractures.

Keyword

Blow-Out Fracture; Fibrin Glue

MeSH Terms

Catheters
Fibrin Tissue Adhesive*
Humans
Inflammation
Maxillary Sinus
Orbit*
Orbital Fractures
Fibrin Tissue Adhesive
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