[The lamina papyracea fracture reduction under nasal endoscope].
OBJECTIVE
To evaluate the clinical results of blow-out laminapapyracea fracture reduction under nasal endoscopy.


METHODS
All 6 cases had endophthalmos and blepharophimosis. Four cases also complained of diplopia. The horizontal and coronal CT of orbit showed the lamina papyracea fracture clearly. The degree and range of the lamina papyracea displacement was measured on CT films. The reduction under nasal endoscope was performed with local and topical anesthesia. We selected the Meeserklinger's route of entry. The uncinate process, ethmoidal bulla, and ethmoidal cells were removed successively. Then, with the help of a tonsil dissector, the lamina papyracea was pushed outward and replaced and was supported with iodoform gauze. After 2 to 3 weeks, the gauze was removed.


RESULTS
The endophthalmos and diplopia disappeared in all cases. No postoperative complications occurred. With 0.5-2 years follow-up, the degree of the endophthalmos was stable within 2 mm.


CONCLUSIONS
The reduction under nasal endoscope has many advantages such as short route of entry, simple performance, and no facial scar. It is a good operative option to correct the lamina papyracea fracture.
Dong
Z
Z
Department of Otorhinolaryngology, People's Hospital of Xintai City, Shandong 271200, China.
Zhang
L
L
Yin
C
C
Zhang
X
X
Ding
Y
Y
D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D009917:Orbital Fractures / Q000601:surgery*