![]() CASE REPORTĪ 35-year-old male patient sought assistance on a tertiary hospital complaining of double vision after seven days of a sports accident. ) The aim of the present study is to report a clinical case of a patient diagnosed with a blowout fracture that underwent orbital floor reconstruction through a subcilliary approach combined with an endoscopic technique due to the location and extension of the defect. Facial Plast Surg Clin North Am 2006 14: 11-6. Endoscopic Repair of Orbital Floor Fractures. ) Sinus-related complications that occur due to the passage of the endoscope are rare and on most cases are associated to an unexperienced surgeon. Reconstruction of orbital floor defects assisted by transantral endoscopy. ( 2 2 Moura LB, Gabrielli MAC, Gabrielli MFR, Pereira-Filho VA. The video assisted reconstruction of the orbital floor presents a few limitations and disadvantages. Biomechanic Factors Associated With Orbital Floor Fractures. , 9 9 Patel S, Andrecovich C, Silverman M, Zhang Liying, Shkoukani M. Endoscopic Endonasal Approach of Blow Out Fracture Reduction - A Novel Technique. ) Herewith, the combination of an endoscopic approach via maxillary sinus allows excellent assessment and visualization of the defect, providing thus a more effective reconstruction through the complete adaptation of the titanium mesh on the bone defect. Reconstruction of Large Orbital Posterior Floor Wall Fracture Considering Orbital Floor Slope Using Endoscope. ( 6 6 Park J, Huh J, Lee J, Chang M, Lee H, Park M, Baek S. ) However, some level of perioperative difficultness to view the whole defect is expected in extensive posterior bone defects, which can lead to an inadequate implant placement. Missouri: Elsevier Saunders 2013: 434-36. In: Fonseca RJ, Barber HD, Powers MP, Frost DE. ) The subciliary, infra orbital, and transconjunctival incisions are the most used surgical accesses for this end. J Oral Biol Craniofac Res 2017 7: 212-18. Three dimensional reconstruction of late post traumatic orbital wall defects by customized implants using CAD-CAM, 3D stereolithographic models: A case report. ( 7 7 Vignesh U, Divya M, Dichen, VA, Debraj H. The main goal of the surgical approach in these fractures is the tridimensional reconstruction of the lost bone anatomy through the reestablishment of the orbital volume. , 6 6 Park J, Huh J, Lee J, Chang M, Lee H, Park M, Baek S. ) Furthermore, diplopy, enophthalmos, ophthalmoplegia, and decreased visual acuity may be also present, thus constituting indications for surgical treatment. Isolated trapdoor-type medial blowout fracture in an adult presenting horizontal diplopia treated by endoscopic endonasal approach. ) The herniation of the orbital content into the maxillary sinus is of common occurrence in this type of fracture, which characterizes a blowout fracture. )Īmong the orbital walls, the floor is considered as a fragile region, which is susceptible to fractures due to the absence of support in the center of its surface and to its thin thickness of approximately 0,27mm. Oral Maxillofac Surg Clin North Am 2012 24: 629-48. ) with predominance of the male gender when compared to the female gender in a proportion of 5:1. ) When midface is involved, orbital fractures represent 40% of these injuries, ( 2 2 Moura LB, Gabrielli MAC, Gabrielli MFR, Pereira-Filho VA. Levantamento epidemiológico das fraturas de face do Serviço de Cirurgia e Traumatologia Bucomaxilofacial da Santa Casa de Misericórdia de Porto Alegre - RS. ( 1 1 Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Facial fractures usually occur due to traumas of moderate and high energy, such as aggressions, car accidents, sports accidents, and fallings.
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