Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 79-81.doi: 10.6040/j.issn.1673-3770.0.2019.022

• Original Article • Previous Articles     Next Articles

Surgical repair of orbital floor fracture with content prolapse and inferior rectus incarceration through maxillary sinus approach

Yuzhu LIU1,Yingkai GAO1,2(),Guiyun JIANG3,Haoxu PEI4,Xiaoxue YUE4   

  1. 1. Department of Otolaryngology, Weifang Medical University, Weifang 261053, Shandong, China
    2. Department of Otolaryngology, Weifang Hospital of Traditional Chinese Medicine, Weifang Medical College, Weifang 261041, Shandong, China
    3. Department of Otolaryngology, Zaozhuang Hospital of Traditional Chinese Medicine, Zaozhuang 277101, Shandong, China
    4. Department of Otolaryngology, Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong, China
  • Received:2019-01-11 Revised:2019-05-23 Online:2019-09-20 Published:2019-10-15
  • Contact: Yingkai GAO E-mail:wfebh@163.com

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Abstract: Objective

To explore the effects of surgical repair of orbital floor fracture with content prolapse and inferior rectus incarceration through the maxillary sinus approach.

Methods

From January 2002 to December 2017, 7 patients with orbital floor fracture with content prolapse and inferior rectus incarceration were treated in our hospital. The patients underwent nasal endoscopic reduction of orbital floor fracture through the maxillary sinus approach, restoration of content prolapse, and lysis of inferior rectus incarceration, supporting the bottom with a Foley′s urethral balloon catheter.

 Results

The maxillary sinus balloon catheter was withdrawn 14 days after the surgery. Seven cases of double vision disappeared, and the eye position and movement returned to normal. Seven patients had no change in visual acuity compared to their preoperative values.

 Conclusion

Surgical repair through the maxillary sinus approach of orbital floor fracture with sacral content prolapse and inferior rectus incarceration reduction is characterized by less trauma, no incision on the face, clear visual field, and wide space available for operation.

Key words: Orbital floor fracture, Maxillary sinus approach, Surgical repair

CLC Number: 

  • R770.4

Fig.1

Preoperative computed tomography imagings. a Axial level imaging; b. Coronal level imaging"

Fig.2

Postoperative computed tomography imagings. a Axial level imaging; b. Coronal level imaging"

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