JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

• Articles • Previous Articles     Next Articles

Transnasal endoscopic management of septal cartilage augmentation in repairing medial orbital wall fracture

WANG Shao-mei,LIU De-sheng,LI Yin-zhu   

  1. Department of eye, ear, nose and throat, Weifang Hanting District People′s Hospital, Weifang 261100, Shandong, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-06-24 Published:2007-06-24
  • Contact: WANG Shao-mei

Abstract: Objective: To explore the possibility of transnasal endoscopic management of septal cartilage augmentation in repairing medial orbital wall fracture. Methods: Eleven patients (11 eyes) with medial orbital wall fracture were enrolled in this study. Before surgery, all the patients had more or less enophthalmos, diplopia and hypopsia. Eye socket CT examination showed that ocular contents were herniated into the ethmoid sinus accompanied with hydrocele. Among them, 6 patients had medial rectus swelling. Under endoscopy, ethmoid sinus was opened via the nasal cavity, the ethmoid cells were extirpated to uncover the fractured lamina, herniated contents were returned back to the eye socket, and the fracture zone was overlaid with septal cartilage. Results: All were cured after surgery. The exophthalmos of both eyes was less than 1mm (with a mean of 0.11mm). The eyesight of the patients showed no change or was slightly improved. Nasal endoscopy showed epithelization of nasal and sinus cavities and un-shift augmented septal cartilage. There was no infection or rejection. Conclusion: Transnasal endoscopic management of septal cartilage augmentation in repairing medial orbital wall fracture is simple, quick and has a high success rate. Autogenous septal cartilage has no rejection response.

Key words: Orbital fracture, Endoscopic surgical procedures, operative, Cribellum, Septal cartilage

CLC Number: 

  • R730.49
[1] SONG Xicheng. Application value of enhanced recovery after surgery in head and neck cancer surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 1-4.
[2] QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13-18.
[3] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[4] WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[5] WANG Li, ZHANG Yu, ZHANG Hua, LIU Xueyan, SONG Xicheng. Enhanced recovery after surgery in sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 23-26.
[6] WANG Chunyu, ZHANG Fen, WANG Beibei, LI Yuyue, WANG Xiaoyu, LI Zhiyun, ZHANG Qingquan. Clinical diagnosis and treatment of 32 cases of vocal cord leukoplakia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 114-116.
[7] LÜ Xuqin, WAN Wenjin. Perioperative blood glucose management in patients with obstructive sleep apnea hypopnea syndrome and hyperglycemia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 100-104.
[8] LI Huabin, LAI Yuting. Pathogenesis, diagnosis, and treatment of chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 4-9.
[9] ZHANG Wei, ZENG Yuhan, YU Xiansong. Changes in nasal secretion of ECP, EGF and IL-6 in patients with chronic sinusitis before and after endoscopic sinus surgery and their clinical significance [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 63-67.
[10] LIU Tingting, WANG Xuehai, CAI Xiaolan, TIAN Zejing, ZHANG Liqiang, LI Xuezhong. Excision of giant tumor in nasal floor involving palatine via oral-nasal combined approach under a nasal endoscope assisted: a report of 2 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 108-110.
[11] LIU Xiaojing, WANG Yuan, ZHANG Liqing, FENG Jian, ZHAO Qing, SONG Shenghua, ZHOU Han, DONG Weida. Analysis of paranasal sinus fibrous dysplasia in 36 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 73-78.
[12] HU Daocai, ZHONG Junwen, YANG Xudong. Severe thrombocytopenia after endoscopic sinus surgery: one case report [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 113-114.
[13] LI Qiaoli, LI Chao, WANG Wei, CAI Yongcong, SUN Ronghao, ZHOU Yuqiu, SHUI Chunyan, HUANG Lu, TU Jing. Primary squamous cell carcinoma of the parotid gland with recurrence and invasion of lateral skull base after radiotherapy and chemotherapy: one case report [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 87-88.
[14] JIANG Ying, CHEN Yuezhu, RAO Yufang, TANG Yuedi. Nasal septum-nasal plastic surgery for correction of severe traumatic nasal deformity with nasal septum deviation: one case report [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 45-47.
[15] ZHU Li. Reconstruction of first-stage nasal bone fractures with nasal septum deviation using endoscopic guidance [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 7-9.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!