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Updated: Mar 16, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital Fat Prolapse Into the Nasal Cavity in Orbital Blowout Fracture
Yasuhiro Takahashi1, Kunihiro Nishimura, Hirohiko Kakizaki
1*Department of Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital †Department of Otolaryngology, Aichi Medical University, Nagakute, Japan.
Abstract:
In this study, the authors describe the first report of 2 patients of fat prolapse into the nasal cavity by orbital blowout fracture. The patients were a 58-year-old male and an 86-year-old female. The patients could not attain binocular single vision in any eye position because of severe impairment of the extraocular muscle motility. Computed tomographic images of both patients revealed orbital blowout fractures with orbital fat prolapse into the nasal cavity. The fractures were reduced under transconjunctival/transcaruncular and endonasal endoscopic approaches. Six months postoperatively, the patients attained a binocular single vision field, including in the primary eye position.
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