Endoscopic Intraoral Plating of Orbital Floor Fractures
Purpose
This article describes a new endoscopic approach for orbital floor fractures, reduction, and fixation and reports the clinical results.
Patients and Methods
Ten patients who sustained either a comminuted or trap door orbital floor fracture were treated in 2 medical centers following the same surgical protocol. The indications for orbital reconstruction were limited eye movement, diplopia, and significant enophthalmos. The new approach is discussed in detail.
Results
All patients healed uneventfully. No major complications were noted in the postoperative period, and good functional and esthetic results were obtained.
Conclusions
Our results demonstrate that endoscopic intraoral plating is a safe and effective procedure for treating orbital floor fractures.
⁎Professor and Chairman, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
†Resident, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
‡Attending Surgeon, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
§Assistant Professor, New York University College of Dentistry, Oral and Maxillofacial Surgery, New York, NY.
∥Chairman, Department of General and Vascular Surgery, Barzilai Medical Center, Ashkelon, Israel.
¶Attending Surgeon, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
#Resident, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
Address correspondence and reprint requests to Dr Nahlieli: Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel
ABSTRACT