J Korean Ophthalmol Soc > Volume 56(8); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(8):1154-1159.
DOI: https://doi.org/10.3341/jkos.2015.56.8.1154    Published online August 15, 2015.
Endoscopic Transnasal versus Transcaruncular Reconstruction in Isolated Medial Orbital Wall Fractures.
Ah Reum Jeong, Sung Mo Kang
Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea. ksm0724@inha.ac.kr
단독 안와내벽 골절에서 내시경을 이용한 코 경유 접근과 눈물언덕 접근을 통한 복원술의 비교
정아름⋅강성모
인하대학교 의과대학 안과학교실
Received: 13 March 2015   • Revised: 14 May 2015   • Accepted: 6 July 2015
Abstract
PURPOSE
To compare 2 surgical techniques, endoscopic transnasal reconstruction and transcaruncular reconstruction in isolated medial orbital wall fractures. METHODS: This study included 79 isolated medial orbital wall fracture patients from January 2011 to December 2012 of Department of Ophthalmology, Inha University Hospital. The authors compared computed tomographic scans, diplopia, extraocular muscle (EOM) movements, and Hertel's exophthalmometer exams pre- and post-surgery. Thirty-five patients received endoscopic transnasal reconstruction and 44 received transcaruncular reconstruction. RESULTS: The 2 surgical methods showed no significant differences in primary gaze diplopia (p = 0.50), restriction of EOM movements (p = 0.48), remaining enophthalmos of more than 2 mm (p = 0.99), and improvement in enophthalmos (p = 0.07) when compared 6 months after surgery. Statistically significant differences were observed in peripheral diplopia (p = 0.04) 6 months after surgery. CONCLUSIONS: The 2 surgical methods present similar effectiveness in postoperative primary gaze diplopia, EOM restriction, and enophthalmos. With respect to postoperative peripheral diplopia, endoscopic transnasal reconstruction method showed advantages. The surgical method should be selected by comparing advantages and disadvantages.
Key Words: Endoscopic transnasal reconstruction;Medial orbital wall fracture;Transcaruncular reconstruction


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