Objectives: The aim of this study was to document the usefulness of the endoscopic endonasal approach as a surgical treatment of isolated blowout fractures of the orbital floor.
Study Design: Retrospective study.
Setting: Between 1997 and 2003, using only an endonasal endoscopic surgical approach, we operated on 62 patients complaining of diplopia due to isolated blowout fractures of the orbital floor. In order to perform the endonasal reduction surgery, supplemental septoplasty and/or submucous conchotomy were done. Immediately following the reduction and the fixation, eye traction tests were performed to confirm the ocular motility improvement. Tampon gauzes or balloon catheters were used for the temporal fixation to support the orbital floor.
Results: Postoperatively, diplopia completely disappeared in 55 of the 62 patients (88.7%) that were followed over 6 months.
Conclusion: The high success rate with regard to diplopia indicates that the endoscopic endonasal approach may be an alternative to extranasal methods.
Ebm Rating: B-3.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.otohns.2005.07.038 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Superior Maximization of Sphenoidotomy With Olfaction Preservation in Endoscopic Endonasal Surgery.
Laryngoscope
December 2024
Department of Neurosurgery, Dokkyo Medical University School of Medicine, Tochigi, Japan.
In endoscopic endonasal surgery for anterior skull base lesions, maximizing the anterior sphenoidotomy in the superior part is crucial for direct visualization and creating a wide working corridor. Here, we describe a technique we devised that maximizes upper anterior sphenoidotomy while preserving the olfactory mucosa. Laryngoscope, 2024.
View Article and Find Full Text PDF[Experience of transnasal endoscopic drainage of rhinosinusogenic frontal lobe abscess].
Vestn Otorinolaringol
December 2024
Surgut Clinical Traumatology Hospital, Surgut, Russia.
Unlabelled: Intracranial complications in inflammatory diseases of the ear and nose are currently not frequent, but their lethality remains high. The choice of optimal, safe and effective access in surgical treatment of purulent-inflammatory intracranial complications remains a subject of discussions and is based on an individual approach, depends on the volume, localization and clinical condition of the patient.
Objective: To demonstrate a clinical case of successful drainage of the brain frontal lobe abscess using endoscopic transnasal access under the control of the navigation system.
Endoscopic Endonasal Surgery of Skull Base Osteoradionecrosis with the Internal Carotid Artery Invaded: Clinical Characteristic and Surgical Strategy.
Ther Clin Risk Manag
December 2024
Department of Otolaryngology, Shenzhen Longgang Otolaryngology Hospital & Shenzhen Otolaryngology Research Institute, Shenzhen, People's Republic of China.
Objective: This study aims to summarize the clinical characteristics of skull base osteoradionecrosis (ORN) with the internal carotid artery (ICA) involvement and to distill the key surgical techniques that can enhance the protective measures for ICA.
Methods: We conducted a retrospective, observational study over a six-year period from February 2017 to May 2023. We included patients who were diagnosed with osteoradionecrosis with invasion of the internal carotid artery and collected their demographic information, pathology results, complication rates, ect.
Endoscopic Endonasal Versus Transcranial Resection of Tuberculum Sella Meningiomas: An Approach Comparison in Two Patients: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
December 2024
Neurosurgery Department, University of California San Francisco, San Francisco, California, USA.
Clinically-Driven Rapidly Developed Nanoparticle Corona for Label-Free Cerebrospinal Fluid Leakage Detection.
ACS Nano
December 2024
School of Chemical Engineering, Sungkyunkwan University, Suwon 16419, Republic of Korea.
Rapid diagnosis of cerebrospinal fluid (CSF) leaks is critical as endoscopic endonasal skull base surgery gains global prominence. Current clinical methods such as endoscopic examination with and without intrathecal injection of fluorescent dye are invasive and rely on subjective judgment by physicians, highlighting the clinical need for label-free point-of-care (POC). However, a viable solution remains undeveloped due to the molecular complexity of CSF rhinorrhea mixed with nasal discharge and the scarcity of specific biomarkers, delaying sensor development.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!