Korean J Otorhinolaryngol-Head Neck Surg.  2015 Aug;58(8):580-584. 10.3342/kjorl-hns.2015.58.8.580.

Two Cases of Combined Orbital Fractures Involving Medial Wall, Inferior Wall and Inferomedial Strut

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. awesomejay@hanmail.net

Abstract

Surgical treatment of combined orbital floor and medial wall fractures involving inferomedial strut can be technically challenging because of absent peripheral bony support for implants. These fractures were conventionally reconstructed with some implants for reconstruction of inferior and medial wall through the external approach. Preparing accurate 3-dimentional implants is time-consuming and inserting large implants through a limited incision site is also troublesome. The authors present two cases of this type of fracture that are successfully repaired using a new strategy by separately repairing the medial and inferior wall combined with inferomedial strut reduction.

Keyword

Endoscopy; Orbital fracture; Reconstructive surgical procedures

MeSH Terms

Endoscopy
Orbit*
Orbital Fractures*
Reconstructive Surgical Procedures
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