Comparison of Endoscopic Endonasal Reduction and Transcaruncular Reduction for the Treatment of Medial Orbital Wall Fractures

• DOI: 10.1097/sap.0b013e31817f01dc
• Publication Date: 2009-05-21T16:04:58Z
• Authors: Kihwan Han; Jae Hoon Choi; Tae Hyun Choi; Sea Yuong Jeon; Jun Sik Kim; Nam Gyun Kim; Kyung Suk Lee; Daegu Son; Jun Hyung Kim; Sang-Hyon Kim; Dawon Kang; Jungbin Park
• Keywords: Enophthalmos; Orbital Fracture

Currently, endoscopic endonasal reduction and transcaruncular are frequently used as surgical treatments for medial orbital wall fractures. However, these 2 techniques have not been comprehensively compared using objective criteria. Therefore, the results of were retrospectively 8 criteria in patients with fracture. This study included 48 fracture treated from June 1993 to July 2006: 29 had 19 reduction. Computed tomographic scans, double vision field testing diplopia Goldmann perimetry, Hertel exophthalmometer (Richmond Products, Albuquerque, NM) done pre- postsurgery. The average follow-up period was 70.8 months. Among pure fractures, rate 89.2% group 90.7% group. One case a more than 2-mm enophthalmos after surgery. correction 1.8% 2.7% None above differences statistically significant. among fractures group, operation time, hospital stay, cost significantly greater methods similar effectiveness; however, seemed be advantageous respect length cost.