Jin H R, Shin S O, Choo M J, Choi Y S
Department of Otolaryngology, College of Medicine, Chungbuk National University, Cheongju, Korea.
J Oral Maxillofac Surg. 2000 Aug;58(8):847-51. doi: 10.1053/joms.2000.8199.
This article describes the endonasal endoscopic reduction (EER) of blowout fractures (BOFs) of the medial orbital walls and reports the clinical results.
Sixteen patients who underwent EER for a BOF of the medial orbital wall were analyzed. The surgical indications for treatment were diplopia, limitation of eye movements, and significant enophthalmos. They were followed-up for at least 3 months after the surgery. Surgical techniques, surgical results, and postoperative complications were reviewed.
There were no significant intraoperative or postoperative complications. Fourteen patients showed complete resolution of symptoms after the surgery. One patient, who had persistent diplopia and remaining enophthalmos, underwent medial wall reconstruction with a Medpor surgical implant (Porex Surgical Inc, College Park, GA) by a transorbital approach. Another patient, who had residual enophthalmos, had correction of enophthalmos after insertion of a Medpor implant. Both patients are now symptom-free.
The results indicate that EER is a safe and effective technique for the treatment of BOFs of the medial orbital wall.
本文描述了鼻内镜下内侧眶壁爆裂性骨折（BOF）复位术，并报告临床结果。
对16例行鼻内镜下内侧眶壁爆裂性骨折复位术的患者进行分析。治疗的手术指征为复视、眼球运动受限和明显眼球内陷。术后对他们进行了至少3个月的随访。回顾了手术技术、手术结果及术后并发症。
术中及术后均无明显并发症。14例患者术后症状完全缓解。1例患者持续存在复视及眼球内陷，经眶入路采用Medpor外科植入物（美国佐治亚州大学公园市Porex Surgical公司）行内侧壁重建术。另1例患者存在残余眼球内陷，植入Medpor植入物后眼球内陷得到矫正。两名患者目前均无症状。
结果表明，鼻内镜下复位术是治疗内侧眶壁爆裂性骨折的一种安全有效的技术。
