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Endoscopic endonasal approach for repairing an outwardly herniated blow-out fracture lateral to the infraorbital nerve

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Abstract

Background

To repair a blow-out fracture, the endonasal approach is indicated when the center of the fracture occurs in the orbital floor medial to the infraorbital nerve, or when the orbital tissue is herniated inwards; additionally, the combined endonasal and transmaxillary approach is indicated for fractures of the anterior and lateral parts of the orbital floor.

Method and conclusion

The use of endoscopic modified medial maxillectomy and special instruments enabled the surgeon to repair an outwardly herniated blow-out fracture by the endonasal approach alone, despite the center of the fracture being in the orbital floor lateral to the infraorbital nerve.

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References

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Funding

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan

    Shinya Takaishi & Nobuyoshi Otori

  2. Department of Otorhinolaryngology, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan

    Shinya Takaishi & Jiro Iimura

Authors
  1. Shinya Takaishi
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  2. Jiro Iimura
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  3. Nobuyoshi Otori
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Corresponding author

Correspondence to Shinya Takaishi.

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The authors declare that they have no conflict of interest.

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This manuscript conformed to the standards of the Declaration of Helsinki. The Ethics Committee of the Jikei University School of Medicine for Biomedical Research does not necessarily request the application of ethical approval for this type of manuscript.

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Takaishi, S., Iimura, J. & Otori, N. Endoscopic endonasal approach for repairing an outwardly herniated blow-out fracture lateral to the infraorbital nerve. Eur Arch Otorhinolaryngol 277, 3227–3230 (2020). https://doi.org/10.1007/s00405-020-06232-z

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  • DOI: https://doi.org/10.1007/s00405-020-06232-z

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