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Endoscopic Decompression of Orbital Floor Fracture


G. C. Vijaya Sai and R Sumitha
Department of ENT and HNS, Sree Balaji Medical College and Hospital, Bharath University, CLC Works Road, Chrompet, Chennai, Tamil nadu- 600044.  

DOI : http://dx.doi.org/10.13005/bpj/766

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ABSTRACT:

Trauma to the orbit can result in considerable deformity of the face,and it may also lead to impairment of the vision. Such kind of trauma mostly occurs in various blunt injuries due to road traffic accidents (RTAs), assault, and sport activity. A blowout fracture of the orbit involves only the floor of the orbit, without involvement of orbital rim or any other associated facial bones. This type can also be found in association with multiple facial injuries.Significant complications can occur as a result of this orbital injury such as enophthalmos,persistent diplopia, vertical dystopia, and restriction of globe movements.The goal of surgical repair of orbital fractures is to restore the traumatized wall  and reduce the contents of the globe into the orbit. Various surgical methods have been tried to reconstruct the orbital floor with varying rate of success. Our case report involves endoscopic transnasal reduction of fracture with less morbidity.

KEYWORDS:

orbit; fracture; diplopia; endoscope

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