Validity and accuracy of subciliary endoscopic-aided repair of orbital floor fractures

Ezzat, Waleed F.; El-Hasan, M. Abo; Rabie, H.

doi:10.1007/s00405-011-1485-2

Cited by 7 publications

(2 citation statements)

References 27 publications

(37 reference statements)

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“…They concluded that the endoscopic aid allowed for better visualisation of the posterior extensions of the fracture. In addition, it also facilitated confirmation that all orbital soft tissues had been accurately elevated and that the graft had been properly positioned [19]. Within the orbital cavity, apart from the orbital floor, endoscopes are also being widely used in the repair of the medial wall and roof of the orbit [20,21].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Endoscopically Assisted Repair of Zygomatico-Maxillary Complex Orbital Fractures: Case Series

Chandran

Narayanan

Chandran

et al. 2019

J. Maxillofac. Oral Surg.

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Aim To assess the feasibility and the outcome of endoscopically assisted repair of zygomatico-maxillary complex orbital fractures in a tertiary care hospital. Materials and methods A descriptive study was carried out over a period of 2 years (01. 11. 2014-31. 10. 2016). 0°-4 mm endoscopes were used for intra-operative endoscopic exploration. Regular armamentarium for management of maxillofacial trauma along with standard plating systems was used. Commercially available medical grade titanium meshes were utilised for orbital floor reconstruction. Results Fifty-seven of hundred and twelve surgically managed zygomatico-maxillary complex fractures required orbital exploration. Twenty-one of these had reconstruction of the orbital floor. Endoscopically assisted exploration was performed in 10 of the 21; trans-nasally in three cases, the Caldwell-Luc approach was used in three cases, and in another three, the existing fracture in the anterior wall of the maxilla was utilised. In addition, an endoscopic transnasal-sphenoidal approach was opted for to access the orbital apex to manage fractured bone fragments that were impinging on the optic nerve in one of the patients. Conclusion Endoscopes serve as the primary tool in minimally invasive procedures. They are yet to evolve as a major role player in the maxillofacial arena. The authors conclude that endoscopes are truly beneficial as an adjunct to existing techniques. They hold much promise for the future.

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Section: Discussionmentioning

confidence: 99%

Feasibility of Endoscopically Assisted Repair of Zygomatico-Maxillary Complex Orbital Fractures: Case Series

Chandran

Narayanan

Chandran

et al. 2019

J. Maxillofac. Oral Surg.

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“…Dependendo do tamanho do defeito, uma abordagem cirúrgica pode ser necessária. As fissuras muitas vezes podem ser tratadas de forma conservadora, enquanto que fraturas cominutivas e defeitos maiores requerem cirurgia para reconstrução do assoalho 8,9 . A seleção do material para reconstrução do AO está relacionada a diversos fatores, como: tamanho do defeito, paredes envolvidas, adaptação dos contornos internos, restauração do volume apropriado, tempo decorrido do trauma e experiência do cirurgião 10 .…”

Section: Introductionunclassified

Enxerto auricular autógeno em reparo de fratura blow-out

Oliveira¹,

Jardim²,

Paiva-Oliveira³

et al. 2016

Arch Health Invest

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ResumoO assoalho orbital é um dos locais mais comumente acometidos nas fraturas faciais, podendo se apresentar como fratura de assoalho pura ou como parte de outras fraturas do terço médio da face. Sendo assim foi realizado um relato de caso de paciente vítima de acidente motociclístico que apresentava equimose periorbitária do lado esquerdo, degrau ósseo em pilar zigomático-maxilar ipsilateral assim como parestesia infra-orbital do mesmo lado. Ao exame oftalmológico, a acuidade visual, a motilidade ocular e o reflexo fotomotor estavam preservados, ausência de diplopia e enoftalmia. Foi constatado clinica e imaginologicamente fratura de assoalho orbital, sutura fronto-zigomática, pilar zigomático-maxilar, pilar canino esquerdo e septo nasal. Foi então realizado sob anestesia geral a redução e fixação das fraturas mencionadas meio do acesso subtarsal para a fratura orbital, associada a enxerto de cartilagem auricular removido no mesmo ato cirúrgico. Em pós-operatórios de 15 dias, 7 meses e 9 meses aspectos de normalidade e processo normal de cicatrização foram observados assim como manutenção da acuidade e motilidade ocular mantiveram-se preservados. Descritores: Fraturas Ósseas; Cartilagem da Orelha; Transplante. AbstractThe orbital floor is one of the most commonly affected sites in facial fractures, which may present as pure floor fracture or as part of other middle third fractures of the face. So we conducted a case report of a patient victim of motorcycle accident that had periorbital ecchymosis on the left, bony step in zygomaticomaxillary ipsilateral pillar as well as infra-orbital parestesia the same side. On examination, visual acuity, ocular motility and reflection fotomotor were preserved, no diplopia and enophthalmos. clinical and imaginologicamente orbital floor fracture, fronto-zygomatic suture, zygomaticomaxillary pillar, left canine pillar and nasal septum was found. It was then performed under general anesthesia reduction and fixation of fractures mentioned through subtarsal access to orbital fracture associated with auricular cartilage graft removed during the same operation. At 15 days postoperatively 7 months and 9 months aspects of normality and normal healing process were observed as well as maintenance of visual acuity and ocular motility remained preserved. Descriptors: Bone Fractures; Ear Cartilage; Transplant. ResumenEl piso de la órbita es uno de los sitios más comúnmente afectados en las fracturas faciales, que se puede presentar como fractura de piso pura o como parte de otras fracturas del tercio medio de la cara. Fue realizado un relato de caso de paciente víctima de accidente en motocicleta, que presentaba equimosis periorbitaria del lado izquierdo, escalón óseo en la unión cigomático-maxilar ipsilateral, así como parestesia infra-orbital del mismo lado. En el examen oftalmológico, la agudeza visual, la motilidad ocular y reflejo fotomotor estaban preservados, con ausencia de diplopía y exoftalmos. Fue constatada fractura clínica y radiológicamente del piso de orbita, de la sutura ...

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