Endoscopic repair of posttraumatic enophthalmos using medial transconjunctival approach: A case report

C. M. Barone, J. W. Gigantelli

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

A blowout fracture of the medial orbital wall should be suspected when periorbital trauma results in epistaxis, orbital hemorrhage, horizontal dysmotility or dystopia of the globe, and/or orbital emphysema. Large medial orbital wall blowout fractures are frequently complicated by posttraumatic enophthalmos. Clinicians should consider a medial transconjunctival approach for repair of these fractures when surgical repair is indicated by a comprehensive clinical and radiologic orbital evaluation. Excellent cosmetic and functional results can be achieved through the use of an extended transcaruncular incision, rigid endoscope, and high-density porous polyethylene implant placement. The technique can be used in the early, delayed, and late stages of medial orbital wall blowout fracture repair. The technique can be used alone in isolated medial orbital wall fractures or combined with other craniofacial approaches.

Original languageEnglish (US)
Pages (from-to)22-26
Number of pages5
JournalJournal of Cranio-Maxillofacial Trauma
Volume4
Issue number1
StatePublished - May 13 1998

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Enophthalmos
Orbital Fractures
Epistaxis
Endoscopes
Emphysema
Polyethylene
Cosmetics
Hemorrhage
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Endoscopic repair of posttraumatic enophthalmos using medial transconjunctival approach : A case report. / Barone, C. M.; Gigantelli, J. W.

In: Journal of Cranio-Maxillofacial Trauma, Vol. 4, No. 1, 13.05.1998, p. 22-26.

Research output: Contribution to journalArticle

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