Reconstruction of Isolated Medial Orbital Wall Fracture Using a Transcaruncular Approach.

Bae, Min Cheol; Kwak, Mi Sun

doi:2009.50.1.1

J Korean Ophthalmol Soc > Volume 50(1); 2009 > Article

Original Article

Journal of the Korean Ophthalmological Society 2009;50(1):1-7.
DOI: https://doi.org/10.3341/jkos.2009.50.1.1 Published online January 15, 2009.

Reconstruction of Isolated Medial Orbital Wall Fracture Using a Transcaruncular Approach.

Min Cheol Bae, Mi Sun Kwak

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. mskwak66@hotmail.com

누구접근법을 이용한 단독안와내벽골절정복술

배민철ㆍ곽미선

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea

Abstract

PURPOSE
We present our results in the reconstruction of medial orbital wall fractures using a transcaruncular approach. METHODS: Forty-five patients with isolated medial orbital wall fractures underwent reconstruction by transcaruncular approach in our clinic between May 2003 and October 2007, and were followed up for 6 months or more. RESULTS: Thirty-three males and 12 females were included in this study, with a mean age of 34.9 years. The most common indication for reconstruction were large sized fractures more than 50%. Operations were performed at a mean 11.9 days after trauma. Among 18 patients who had diplopia before the operation, 16 (89%) patients had symptom relief or improvement, and in the 2 patients where diplopia persisted, it did not in primary and down gaze and offered no difficulties in daily activities. Among 34 patients who had enophthalmos before the operation, most (n=30) of the patients had minimal enophthalmos not more than 2 mm, 4 patients had enophthalmos that exceeded 2 mm. CONCLUSIONS: Transcaruncular approach in reconstruction of isolated medial orbital wall fracture shows more satisfying functional and cosmetic results and can be preferred to isolated medial orbital wall fracture.

Key Words: Diplopia;Enophthalmos;Medial wall fracture;Transcaruncular approach