J Korean Ophthalmol Soc.
1996 Dec;37(12):1984-1990.
Treatment of Medial Orbital Wall Fracture Using Endoscopic Intranasal Ethmoidectomy
- Affiliations
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- 1Department of Ophthalmology, Chonnam University Medical School, Kwang Ju, Korea.
- 2Department of Otolarygology, Chonnam University Medical School, Kwang Ju, Korea.
Abstract
- An isolated blow out fracture of the medial orbital wall is uncommon, where as the incidence of conjugation with an orbital floor fracture is high. Clinically, they are suspected when periorbital trauma is associated with epistaxis, orbital hematoma, subcutaneous emphysema and horizontal diplopia. Surgical intervention is indicated if the fracture cause impairment of ocular motility, diplopia and enophthalmos due to incarceration of medial rectus muscle and soft tissue. Recently, endoscopic surgery in the treatment of orbital wall fracture instead of external approach has been introduced. The authors performed endoscopic intranasal ethmoidectomy with release of the rectus muscle in two patients with medial orbital wall fracture on the first post-traumatic day in one and the thirteenth day in the other and have good result.
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