Three Cases of Endoscopic Reduction of Medial Blowout Fracture with Sinusitis and Nasal Polyp.
10.3342/kjorl-hns.2012.55.4.246
- Author:
Tae Young JUNG
1
;
Jae Woon WE
;
Jae Hwan KWON
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea. hands-jung@hanmail.net
- Publication Type:Case Report
- Keywords:
Blowout fracture;
Sinusitis
- MeSH:
Dimethylpolysiloxanes;
Ethmoid Sinus;
Formaldehyde;
Nasal Polyps;
Orbit;
Polyvinyl Alcohol;
Sinusitis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2012;55(4):246-249
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
