title: Modified technique for endoscopic endonasal reduction of medial orbital wall fracture using an absorbable packing.
abstract: OBJECTIVE
  The purpose of this study was to describe a modified technique using only biological dura substitute (Lyoplant®) associated or not to a sheet of Medpore® (porous polyethylene plate) avoiding the use of Silastic® or Merocel® packing for endoscopic endonasal reduction of medial orbital wall fracture.
  
  
  METHODS
  An interventional case report was used involving two patients with medial orbital wall fracture that were treated with the modified technique. Postoperatively, the patients were evaluated for visual acuity, enophthalmos, extraocular motility, and diplopia.
  
  
  RESULTS
  Twelve months after surgery, patients recovered completely without any residual eye symptoms or complications, and postoperative CT showed a completely corrected medial orbital wall fractures.
  
  
  CONCLUSIONS
  The reported technique proved itself to be safe and effective, and it may be expected to have advantages over the conventional endoscopic approach using a non-absorbable packing, avoiding the need for long-term nasal packing and a secondary removal procedure.
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 37134, Verona, Italy. pasquale.procacci@univr.it.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Procacci
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 37134, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Trevisiol
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 37134, Verona, Italy.
authors.forename: P F
authors.initials: PF
authors.lastname: Nocini
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 37134, Verona, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Favero
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 37134, Verona, Italy.
authors.forename: A
authors.initials: A
authors.lastname: D'Agostino
mesh_terms: D000328:Adult; D002483:Cellulose, Oxidized; D000070628:Closed Fracture Reduction / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D005005:Ethmoid Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011095:Polyethylenes; D014057:Tomography, X-Ray Computed
chemical_list: D002483:Cellulose, Oxidized; C084562:Medpor; D011095:Polyethylenes; C013695:Surgicel
keywords: Endoscopy; Orbit; Orbital reconstruction; Trauma