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KMID : 0361019980410060755
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Korean Journal of Otolaryngology - Head and Neck Surgery
1998 Volume.41 No. 6 p.755 ~ p.759
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Endonasal Endoscopic Reduction of Blowout Fractures of the Medial Orbital Walls
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진홍률/Hong Ryul Jin
신시옥/추무진/최영석/김진섭/Si Ok Shin/Moo Jin Choo/Young Seok Choi/Jin Sup Kim
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Abstract
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Background and Objectives: Until recently, blowout fractures (BOFs) of the medial orbital walls were treated using external approach. With recent advances in endoscopy, many cases of BOFs of the medial orbital walls are now treated
endonasaly
using an endoscope. This article describes endonasal endoscopic reduction (EER) of BOFs of the medial orbital walls and reports the clinical results. Materials and Methods: Twelve patients with BOFs of the medial orbital walls underwent
EER.
Their records were reviewed for surgical indications, operative techniques, operative results, and postoperative complications. Results: Surgical indications were persistent diplopia, limitation of eye movement, and significant
enophthalmos.
Ten
patients showed complete resolution of symptoms after the operation. One patient underwent medial wall reconstrution with transorbital approach after failure of EER, and is nor free of symptoms. Another patient with both zygomatic fractrue and
BOF
of
the orbital floor remained endphthalmic after EER.There were no other significant complications postoperatively. Conclusion:The results indicate that EER is a safe and effective method of treating BOFs of the medial orbital walls.
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KEYWORD
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