Nasal septal cartilage filled orbital wall fracture repair.doc

 PAGE \* MERGEFORMAT 15 Nasal septal cartilage filled orbital wall fracture repair Abstract To evaluate the endoscopic septal cartilage fill, repair orbital wall fracture, nasal potential to do eye surgery. Methods: 11 cases of orbital wall fracture patients (11 eyes), preoperative examination in varying degrees of enophthalmos, diplopia, vision loss symptoms, row CT diagnosis of orbital contents with orbital herniation into the ethmoid sinus and associated product liquid, in which 6 cases of swelling of the medial rectus. The beginning of surgery under the guidance of the endoscope through the nasal cavity open ethmoid sinus, removal of screen rooms, exposed fracture of the cardboard will be satisfied hernia into the matter back to orbit, nasal septal cartilage fracture zone coverage. Results: The patients were all cured after surgery. Highlight the degree of difference between both eyes ≤ 1? Mm, an average of 0.11? Mm. Preoperative visual acuity compared with no change or slight improvement. Endoscopy see the luminal epithelium of the ethmoid sinus surgery, nasal septum cartilage filled no moving, no infection and exclusion. Conclusion: The nasal septal cartilage filled orbital wall fracture repair method is simple, high success rate. Autogenous septal cartilage without rejection. 【Key Words】 orbital bone fracture sieve endoscopic sinus surgery of nasal septum [ABSTRACT] Objective: To explore the possibility of transnasal endoscopic management of septal cartilage augmentation in repairing medial orbital wall fracture. Methods: Eleven patients (11 eyes) with medial orbital wall fracture were enrolled in this study. Before surgery, all the patients had more or less enophthalmos, diplopia and hypopsia. Eye socket CT examination showed that ocular contents were herniated into the ethmoid sinus accompanied with hydrocele. Among them, 6 patients had medial rectus swelling. Under endoscopy, ethmoid sinus was opened via the nasal cavity, the ethm