J Cosmet Med.  2021 Dec;5(2):78-81. 10.25056/JCM.2021.5.2.78.

Orbital floor fracture reduction using the prelacrimal approach: a case report

• Park GW
• Jung TY

• KMID: 2561118
• DOI: http://doi.org/10.25056/JCM.2021.5.2.78

Abstract

Orbital floor fractures are caused by blunt trauma to the orbital floor, the weakest part of the orbital wall. Reduction of orbital floor fractures is important to prevent complications such as diplopia and enophthalmos. The approach used in reducing orbital floor fractures can be classified into three types: transorbital, transantral, and intranasal approaches. Each approach has limitations such as scarring, numbness, and a narrow surgical view. The prelacrimal approach as a technique has the advantage of a previous intranasal approach, in that it uses the middle meatal antrostomy for the endoscopic approach and improves the limitation of the previous intranasal approach. It provides not only a wide surgical view and clear view of the fracture site, but also an easy approach to the reduction site in the outpatient department after surgery. We suggest the prelacrimal approach as a new option for the reduction of orbital floor fractures.

Keyword

endoscopy; open fracture reduction; orbital fractures