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  Vol. 116 No. 5, May 1998 TABLE OF CONTENTS
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  Surgical Technique
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 •Otolaryngology/ Head & Neck Surgery
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Paranasal Sinus Endoscopy and Orbital Fracture Repair

John J. Woog, MD; Morris E. Hartstein, MD; Richard Gliklich, MD

Arch Ophthalmol. 1998;116:688-691.

Although excellent results may be achieved in the management of many orbital floor injuries with standard transconjunctival or transcutaneous approaches, visualization of the posterior edge of the orbital floor or medial wall defect may be challenging at times. We describe our experience using endoscopic examination of the orbital floor through maxillary sinus approaches during the repair of selected orbital floor fractures. Owing to the posterosuperior angulation of the orbital floor, these approaches allow better visualization of the posterior edge of fractures involving the posterior portion of the orbital floor than do the standard transconjunctival approaches, and they facilitate confirmation that all orbital soft tissues have been elevated from the fracture site. We have used these techniques successfully in 9 patients with fractures involving either the posterior portion of the orbital floor or the medial wall or both.




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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Endoscopic Repair of Orbital Blowout Fractures: Use or Misuse of a New Approach?
Farwell et al.
Arch Facial Plast Surg 2007;9:427-433.
ABSTRACT | FULL TEXT  





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