J Korean Ophthalmol Soc.  2015 Aug;56(8):1154-1159. 10.3341/jkos.2015.56.8.1154.

Endoscopic Transnasal versus Transcaruncular Reconstruction in Isolated Medial Orbital Wall Fractures

• Jeong AR
• Kang SM

• KMID: 2215065
• DOI: http://doi.org/10.3341/jkos.2015.56.8.1154

Abstract

PURPOSE
To compare 2 surgical techniques, endoscopic transnasal reconstruction and transcaruncular reconstruction in isolated medial orbital wall fractures.
METHODS
This study included 79 isolated medial orbital wall fracture patients from January 2011 to December 2012 of Department of Ophthalmology, Inha University Hospital. The authors compared computed tomographic scans, diplopia, extraocular muscle (EOM) movements, and Hertel's exophthalmometer exams pre- and post-surgery. Thirty-five patients received endoscopic transnasal reconstruction and 44 received transcaruncular reconstruction.
RESULTS
The 2 surgical methods showed no significant differences in primary gaze diplopia (p = 0.50), restriction of EOM movements (p = 0.48), remaining enophthalmos of more than 2 mm (p = 0.99), and improvement in enophthalmos (p = 0.07) when compared 6 months after surgery. Statistically significant differences were observed in peripheral diplopia (p = 0.04) 6 months after surgery.
CONCLUSIONS
The 2 surgical methods present similar effectiveness in postoperative primary gaze diplopia, EOM restriction, and enophthalmos. With respect to postoperative peripheral diplopia, endoscopic transnasal reconstruction method showed advantages. The surgical method should be selected by comparing advantages and disadvantages.

Keyword

Endoscopic transnasal reconstruction; Medial orbital wall fracture; Transcaruncular reconstruction

MeSH Terms

Diplopia
Enophthalmos
Humans
Ophthalmology
Orbit*

Reference

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