Semin Plast Surg 2002; 16(3): 241-250
DOI: 10.1055/s-2002-34434
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Application of Endoscope in Orbital Fractures

Chien-Tzung Chen1 , Yu-Ray Chen2
  • 1Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
  • 2Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
Further Information

Publication History

Publication Date:
01 October 2002 (online)

ABSTRACT

Surgical treatment of orbital fractures presents one of the most challenging procedures following facial injury. The traditional incisions used for repair of orbital defects, despite proper and meticulous execution, still leave permanent surgical stigmata such as scalp alopecia, facial nerve palsy, prominent scarring, and eyelid retraction. Endoscopic techniques have been widely adopted for esthetic plastic surgery to allow smaller incisions and a shorter convalescence period. To reduce potential unfavorable outcomes and avoid incisional sequelae, endoscopic techniques have been developed and applied for orbital fractures through either medial transconjunctival or transantral approaches. In general, the endoscopic assisted techniques provide magnified vision, enhanced illumination of the surgical field, simultaneous visualization of the fracture site by multiple members of the surgical team, precise determination of the fractures size, location and presence of entrapped orbital contents, complete reduction of herniated soft tissue, and coverage of the bone defect. These procedures can be performed safely with minimal morbidity and excellent cosmetic results without an external scar. However, not all cases are suitable for an endoscopic approach, and the surgeon must be experienced in the full range of surgical options and thoroughly understand the anatomy of the orbit if optimal results are to be achieved.

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