Korean J Otorhinolaryngol-Head Neck Surg.  2012 Apr;55(4):246-249. 10.3342/kjorl-hns.2012.55.4.246.

Three Cases of Endoscopic Reduction of Medial Blowout Fracture with Sinusitis and Nasal Polyp

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea. hands-jung@hanmail.net


The most possible complication of transnasal reconstruction of medial orbital wall fracture is infection of the dependent sinuses. As a result, endoscopic reduction in a medial blowout fracture with sinusitis and nasal polyp has been avoided. The silastic sheet and Merocel packing, which are placed in the ethmoid sinus, may cause or worsen sinusitis since they could cover up the natural ostia in the vicinity of sinuses. The spread of infection into the orbital wall and the difficulty of recognizing between herniated orbital tissues, infection and nasal polyp makes it difficult to perform endoscopic reduction when there are concomitant sinusitis and nasal polyp. The author reports three recently encountered cases of endoscopic reduction of medial blowout fracture with sinusitis and nasal polyp.


Blowout fracture; Sinusitis
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