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Modified technique for endoscopic endonasal reduction of medial orbital wall fracture using a resorbable panel
Jaewoon We1, Youngho Kim, Taeyoung Jung
1Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea.
Purpose:
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.
Result:
Both patients recovered completely without any residual eye symptoms or complications, and postoperative CT showed a completely resolved medial orbital wall.
Conclusion:
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.
