Endoscopic Endonasal Repair of Orbital Floor Fracture | Medical Devices and Equipment | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Converse  JMSmith  BObear  MEWood-Smith  D Orbital blowout fractures: a ten-year survey.  Plast Reconstr Surg. 1967;3920- 35Google ScholarCrossref
Dodick  JMGalin  MALittleton  JT  et al.  Concomitant medial wall fracture and blowout fractures of the orbit.  Arch Ophthalmol. 1971;85273- 276Google ScholarCrossref
Dutton  JJManson  PNIliff  NPutterman  AM Management of blow-out fractures of the orbital floor.  Surv Ophthalmol. 1991;35279- 298Google ScholarCrossref
Hawes  MJDortzbach  RK Surgery on orbital floor fractures: influence of time of repair and fracture size.  Ophthalmology. 1983;901066- 1070Google ScholarCrossref
Millman  ALDella Rocca  RCSpector  SLiebeskind  AMessina  A Steroids and orbital blowout fractures: a new systemic concept in medical management and surgical decision making.  Adv Ophthalmic Plast Reconstr Surg. 1987;6291- 300Google Scholar
Biesman  BSHornblass  ALiesman  RKazlas  M Diplopia after surgical repair of orbital floor fractures.  Ophthalmic Plast Reconst Surg. 1996;129- 16Google ScholarCrossref
Kennedy  DWGoodstein  MLMiller  NRZinreich  SJ Endoscopic transnasal orbital decompression.  Arch Otolaryngol Head Neck Surg. 1990;116275- 282Google ScholarCrossref
Manning  SC Endoscopic management of subperiosteal orbital abscess.  Arch Otolaryngol Head Neck Surg. 1993;119789- 791Google ScholarCrossref
Metson  R Endoscopic surgery for lacrimal obstruction.  Otolaryngol Head Neck Surg. 1991;104473- 479Google Scholar
Kountakis  AEMaillard  AAUrso  RStiernberg  CM Endoscopic approach to traumatic visual loss.  Otolaryngol Head Neck Surg. 1997;116652- 655Google ScholarCrossref
Yamaguchi  NAmi  SMitam  HUchida  Y Endoscopic endonasal technique of the blowout fracture of the medial orbital wall.  Op Tech Otolaryngol Head Neck Surg. 1992;2269- 274Google ScholarCrossref
Smith  BRegan  WF Blow-out fracture of the orbit: mechanism and correction of internal orbital fracture.  Am J Ophthalmol. 1957;44733- 739Google Scholar
Putterman  AM Late management of blow-out fractures of the orbital floor.  Trans Am Acad Ophthalmol Otolaryngol. 1977;83650- 662Google Scholar
Emery  JMvon Noorden  GKSchlernitzauer  DA Orbital floor fractures: long-term follow-up of cases with and without surgical repair.  Trans Am Acad Ophthalmol Otolaryngol. 1971;75802- 812Google Scholar
Seiff  SRGood  WV Hypertropia and the posterior blowout fracture: mechanism and management.  Ophthalmology. 1996;103152- 156Google ScholarCrossref
Original Article
January 1999

Endoscopic Endonasal Repair of Orbital Floor Fracture

Author Affiliations

From the Department of Otorhinolaryngology, Tohoku University School of Medicine, Sendai, Japan.

Arch Otolaryngol Head Neck Surg. 1999;125(1):59-63. doi:10.1001/archotol.125.1.59

Background  High-resolution endoscopes and the advent of endoscopic instruments for sinus surgery provide surgeons with excellent endonasal visualization and access to the orbital walls.

Objective  To demonstrate repair of orbital floor blowout fractures through an intranasal endoscopic approach that allows repair of the orbital floor fracture and elevation of the orbital content using a balloon catheter without an external incision.

Design  This study was a retrospective analysis of 11 patients who underwent surgical repair of orbital floor fractures from September 1994 to June 1997. There were 10 male patients and 1 female patient, aged 12 to 32 years (mean age, 24 years). These patients had undergone primary repair of pure orbital blowout fractures and were followed up at least 6 months after surgery.

Results  There were no intraoperative or postoperative complications. Nine patients showed a complete improvement of their diplopia. Two patients with posterior fractures showed persistent diplopia, which was well managed by prisms.

Conclusion  Endoscopic repair of the orbital floor blowout fracture using an endonasal approach appears to be a safe and effective technique for the treatment of diplopia.