Martins Thiago Henrique, Bonardi João Paulo, Stabile Glaykon Alex Vitti, Dallazen Eduardo, Hochuli-Vieira Eduardo, Pereira-Stabile Cecilia Luiz
*Hospital Santa Casa of Paranavai, Parana †Araçatuba School of Dentistry, São Paulo State University, São Paulo ‡State University of Londrina-UEL, Parana §Department of Oral and Maxillofacial Surgery ||Division of Oral and Maxillofacial Surgery, Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, São Paulo State University, São Paulo, Brazil.
J Craniofac Surg. 2017 Jan;28(1):170-171. doi: 10.1097/SCS.0000000000003163.
Pure orbital fractures have the tendency to occur on medial wall and orbital floor; because these points are more fragile, the endoscopy can be utilized for accomplishing the task of repositioning the herniated content, as well as serving as an additional tool, helping to view the orbital defects through a transantral approach. The presented case is a female patient, 12 years old, who was diagnosed as having a pure blowout fracture, on right orbital floor, type trapdoor, with orbital content herniated toward the maxillary sinus. It was realized that a surgical procedure for reduction of orbital content through video endoscopy, via antral, allowed a great viewing of soft and hard structures, checking the positioning of implants and its relation with the orbital cavity, enabling installing through a small surgical access and minimum detachment, and favoring postoperative recovery.
