The Direct Medial Canthal Approach in the Repair of Blowout Fracture of the Medial Orbital Wall.

Lee, Min Yong; Lee, Choon Oh; Lee, Tae Soo

Case Report

Journal of the Korean Ophthalmological Society 1987;28(2):463-469.
Published online February 1, 1987.

The Direct Medial Canthal Approach in the Repair of Blowout Fracture of the Medial Orbital Wall.

¹Department of Ophtealmology, Capital Armed Forces General Hospital, Seoul, Korea.
²Department of Ophthalmology, Korea University, College of Medicine, Seoul, Korea.

Direct Medial Canthal Approach 를 이용한 안와내벽의 Blowout Fracture 의 치험 2 예

이민용(Min Yong Lee),이춘오(Choon Oh Lee),이태수(Tae Soo Lee)

Abstract

Fracture of the medial orbital wall with entrapment of the medial rectus muscle is a rarely reported occurence. Fractures of the medial orbital wall can occur alone. but they are frequently associated with fractures of the orbital floor. As the result of blowout fracture of the medial orbital wall, epistaxis, limitation of abduction, restriction of abduction, globe retraction upon attempted abduction, and enophthalmos are developed. Serious complications of medial orbital wall trauma are rare. Significant enophthalmos, definite limitation to the forced ductions, or marked incarceration of orbital tissue are usually indications for the need for exploration. Surgical approaches to blowout fracture of the medial orbital wall are made through a skin incision in the lower eyelid placed just below the eyelashes, a conjunctival incision, and direct medial canthal incision. Recently, the authors have repaired two blowout fractures of the medial orbital wall by use of Direct Medial Canthal approach, and follow-up for six months has been done.