Journal of Otorhinolaryngology, Hearing and Balance Medicine | |
Combined Subciliary/Transantral Approach for Reconstruction of Orbital Floor Fracture | |
article | |
Shigeharu Fujieda1  Tetsuji Takabayashi1  Masayuki Okamoto1  Kazuhiro Ogi1  Yoshimasa Imoto1  Yukihiro Kimura1  Yukinori Kato1  Yumi Ito1  Norihiko Narita1  | |
[1] Department of Otorhinolaryngology, Faculty of Medical Sciences, University of Fukui | |
关键词: blowout fracture; combined approach; orbital floor; reconstruction; subciliary incision; trapdoor fracture; | |
DOI : 10.3390/ohbm2030007 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: mdpi | |
【 摘 要 】
Orbital floor fracture, especially with constriction of orbital soft tissue, should be reconstructed surgically. Although various approaches to treat the orbital floor have been reported, procedures have not been unified among hospitals or surgeons. Since 2009, we have adopted a procedure combining a transorbital approach via subciliary incision with a transantral approach through upper gingival incision. The combined approach compensates for the shortcomings of each approach, leading to successful reconstruction. It is applicable safely for trapdoor fracture of the orbital floor in children, which more frequently constricts orbital soft tissue and which leaves permanent diplopia. This report retrospectively assessed clinical preoperative findings and postoperative outcomes of patients who received reconstruction of orbital floor fracture with the combined approach in our department from August 2009 through March 2021. Data of 21 patients with orbital floor fracture were analyzed, only one (4.8%) of whom had postoperative diplopia. Specifically, we describe children with trapdoor fracture treated with the combined approach, resulting in complete recovery. The combined approach stands as an excellent procedure for reconstruction of orbital floor fracture in adults and even in children.
【 授权许可】
CC BY
【 预 览 】
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RO202110130000467ZK.pdf | 1768KB | download |