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Updated: Jul 20, 2026
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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Endoscopic orbital fracture repair
Yasaman Mohadjer1, Morris E Hartstein
1Department of Ophthalmology, Saint Louis University School of Medicine, 1755 South Grand Boulevard, St. Louis, MO 63104, USA. mohadjery@yahoo.com
Otolaryngologic Clinics of North America
|September 20, 2006
Summary
This study presents a combined transconjunctival and endonasal endoscopic approach for orbital floor fracture repair. This technique improves visualization and precision, particularly for posterior fractures and enophthalmos correction.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Plastic Surgery
Background:
- Traditional surgical approaches offer limited visualization of middle and posterior orbital floor fractures.
- Accurate reduction of herniated orbital tissues is crucial for successful outcomes.
Purpose of the Study:
- To describe a combined transconjunctival incision and endonasal endoscopic approach for orbital fracture repair.
- To evaluate the efficacy of this technique for posterior orbital floor fractures and secondary repairs.
Main Methods:
- A surgical technique combining a transconjunctival incision with an endonasal endoscopic approach was utilized.
- The method was applied to patients with orbital floor fractures, focusing on posterior involvement and residual enophthalmos.
Main Results:
- The combined approach provides enhanced visualization and illumination compared to traditional methods.
- It allows for precise reduction of herniated orbital soft tissues and accurate implant placement.
- Video projection facilitates team collaboration, documentation, and recording.
Conclusions:
- The transconjunctival and endonasal endoscopic approach is a valuable technique for orbital floor fracture repair.
- It offers significant advantages in visualizing and treating posterior fractures and correcting enophthalmos.
