Modified technique for endoscopic endonasal reduction of medial orbital wall fracture using a resorbable panel.
OBJECTIVE
To describe a modified technique using resorbable panel for endoscopic endonasal reduction of medial orbital wall fracture.


METHODS
A prospective, small interventional case series involving 2 patients with medial orbital wall fractures that were treated with the modified technique. Postoperatively, patients were evaluated for visual acuity, enophthalmos, extraocular motility, and diplopia.


RESULTS
Both patients recovered completely without any residual eye symptoms or complications, and postoperative CT showed a completely resolved medial orbital wall.


CONCLUSIONS
The modified technique for endoscopic endonasal reduction using a resorbable panel was effective for the reconstruction of orbital wall fractures, without complications. The modified technique may be expected to have advantages over the conventional endoscopic approach using a Silastic sheet and Merocel because it does not require long-term nasal packing, and the resorbable panel supports the orbital contents longer.
We
Jaewoon
J
Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea.
Kim
Youngho
Y
Jung
Taeyoung
T
Bae
Kibeom
K
Cho
Joonghwan
J
Kwon
Jaehwan
J
D000293:Adolescent; D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D008297:Male; D009296:Nasal Cavity / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009917:Orbital Fractures / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed