Endoscopic Intraoral Plating of Orbital Floor Fractures

Nahlieli, Oded; Bar-Droma, Eitan; Zagury, Amy; Turner, Michael D.; Yoffe, Boris; Shacham, Rachel; Bar, Tal

doi:10.1016/j.joms.2007.02.004

« Previous Next »Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 9 , Pages 1751-1757, September 2007

Endoscopic Intraoral Plating of Orbital Floor Fractures

Oded Nahlieli, DMD
- Professor and Chairman, 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
Eitan Bar-Droma, DMD
- Resident, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
Amy Zagury, DMD
- Attending Surgeon, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
Michael D. Turner, MD, DMD
- Assistant Professor, New York University College of Dentistry, Oral and Maxillofacial Surgery, New York, NY.
Boris Yoffe, MD
- Chairman, Department of General and Vascular Surgery, Barzilai Medical Center, Ashkelon, Israel.
Rachel Shacham, DMD
- Attending Surgeon, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
Tal Bar, DMD
- Resident, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.

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.