The treatment method and effect of orbital floor defects repaired with autologous tragus cartilage through Cald-well-Luc approach under nasal endoscope.
- Author:
Jiapeng ZHANG
1
;
Zhong WEN
;
Yifan SUN
;
Xiaoming HUANG
Author Information
1. Department of Otolaryngology, Affiliated Hospital of Zhongshan City, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510282, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Blindness;
Cartilage;
transplantation;
Diplopia;
Ear Auricle;
Endoscopes;
Endoscopy;
methods;
Enophthalmos;
Female;
Humans;
Male;
Maxillary Sinus;
surgery;
Middle Aged;
Nose;
Orbital Fractures;
surgery;
Retrospective Studies
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(12):536-538
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the operative method and effect of fracture of orbital floor defects repaired with tragus cartilage through Cald-well-Luc approach under nasal endoscope.
METHOD:Fifteen cases suffered fracture of orbital floor defects(blow out fracture) were analyzed retrospectively. Oral vestibular incision were done directly to tip teeth kennel, maxillary sinus anterior forewall was chiseled with 2 cm x 2 cm size, orbital floor fracture defect size was probed under nasal endoscope, and the fracture of orbital floor defects was repaired with tragus cartilage.
RESULT:Fifteen cases were successfully operated and no cases showed vision loss,diplopia, enophthalmos obviously after operation,while 3 case were a little eyeball limitation of activity and restored basically after one month. With two years of follow up, there were no spurious eyelid drooping, up-eyelid lacuna deepen, eyelid diameter shorten and facial deformity were found. Both eye-balls were basical symmetry and no complications were happened.
CONCLUSION:It is a satisfactory, effective and aminimally invasive surgical method without facial scars and eyelid ectropion for fracture of orbital floor defects repaired with tragus cartilage through Cald-well-Luc approach under nasal endoscope.
