Treatment of Medial Orbital Wall Fracture Using Endoscopic Intranasal Ethmoidectomy.

Yoon, Kyung Chul; Kim, Seong Ju; Jeong, Sang Ki; Park, Yeoung Geol; Cho, Jae Shik

Case Report

Journal of the Korean Ophthalmological Society 1996;37(12):1984-1990.
Published online December 1, 1996.

Treatment of Medial Orbital Wall Fracture Using Endoscopic Intranasal Ethmoidectomy.

Kyung Chul Yoon, Seong Ju Kim, Sang Ki Jeong, Yeoung Geol Park, Jae Shik Cho

¹Department of Ophthalmology, Chonnam University Medical School, Kwang Ju, Korea.
²Department of Otolarygology, Chonnam University Medical School, Kwang Ju, Korea.

내시경적 비내 사골절제술에 의한 안와내벽골절의 치료

윤경철(Kyung Chul Yoon),김성주(Seong Ju Kim),정상기(Sang Ki Jeong),박영걸(Yeoung Geol Park),조재식(Jae Shik Cho)

Abstract

An isolated blow out fracture of the medial orbital wall is uncommon, where as the incidence of conjugation with an orbital floor fracture is high. Clinically, they are suspected when periorbital trauma is associated with epistaxis, orbital hematoma, subcutaneous emphysema and horizontal diplopia. Surgical intervention is indicated if the fracture cause impairment of ocular motility, diplopia and enophthalmos due to incarceration of medial rectus muscle and soft tissue. Recently, endoscopic surgery in the treatment of orbital wall fracture instead of external approach has been introduced. The authors performed endoscopic intranasal ethmoidectomy with release of the rectus muscle in two patients with medial orbital wall fracture on the first post-traumatic day in one and the thirteenth day in the other and have good result.

Key Words: Medial wall fracture;Endoscopic intranasal ethmoidectomy