| Endoscopic and Transconjunctival versus Transcaruncular and Transconjunctival Reconstruction of Medial and Inferior Orbital Wall Fractures. |
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Jung Yong Kim, Sung Mo Kang |
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Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea. Ksm0724@inha.ac.kr |
| 안와하내벽 골절에서 내시경 코경유 및 결막접근법 조합과 눈물언덕 및 결막접근법 조합의 비교 |
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김정용⋅강성모 |
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인하대학교 의과대학 안과학교실 |
Correspondence:
Sung Mo Kang,
Email: Ksm0724@inha.ac.kr
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Received: 22 December 2016 • Revised: 22 February 2017 • Accepted: 11 April 2017 |
| Abstract |
PURPOSE
To compare two combined surgical techniques, endoscopic endonasal surgery with transconjunctival reconstruction and transcaruncular surgery with transconjunctival reconstruction, when used to treat both medial and inferior orbital wall fractures. METHODS: A retrospective review of 63 patients who were followed up from January 2011 to December 2014 at Inha University Hospital for surgical reconstruction of combined medial and inferior orbital wall fractures was undertaken. We compared between the patients the computed tomographic scans, diplopia, extraocular muscle (EOM) movements, and Hertel's exophthalmometer exams pre- and post-6 months surgery. A total of 29 patients received endoscopic transnasal surgery with trasconjunctival reconstruction, and 34 received transcaruncular surgery with trans-conjunctival reconstruction. RESULTS: There were no significant differences between the two combined methods in terms of the primary and peripheral gaze diplopia or the restriction of EOM movement 6 months after surgery. However, statistically significant differences were observed in exophthalmometer measurements 6 months after surgery. CONCLUSIONS: The two combined surgical methods showed similar results in terms of postoperative primary and peripheral gaze diplopia, EOM restriction, and enophthalmos. With respect to postoperative peripheral diplopia, endoscopic endosnasal surgery with transconjunctival reconstruction showed several advantages over the other method considered in this study. An appropriate surgical method should be selected by comparing the relative advantages and disadvantages. |
| Key Words:
Combined medial;Inferior orbital wall fractures |
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