Benefits of Endoscopically Assisted Orbital Reconstruction of Fractures of the Floor and Medial Wall of the Orbit - Abstract
Purpose: Identify the benefits of using the endoscope in patients with fractures of the medial wall and floor of the orbit.
Materials and methods: A retrospective descriptive study is presented in which we reviewed the medical records of all our patients that presented with an orbital fracture of the posterior third of the medial wall and floor of the orbit, that were taken to surgery between 2006 to 2019. All surgeries were performed through a combined Transorbital and Endoscopic approach. Ocular motility, presence of enophthalmos and pupillary reflexes were evaluated, both pre-surgical and postoperatively. The study was approved by the local IRB (approval # 2017/90).
Results: This study includes seven patients presenting with fractures of the medial wall or floor of the orbit, that were treated with an endoscopically assisted technique. All of these patients improved their ocular motility and none presented enophthalmos. No postsurgical complications were found in any of the patients. One of our patients presented with a pre-surgical amaurosis that did not change postoperatively.
Conclusions: Management of orbital fractures at the posterior third of the medial wall or floor of the orbit through a combined Transorbital and Endoscopic approach is a safe and effective technique.