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Minimally Invasive Approach to Orbital Trauma

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Minimally Invasive Oral and Maxillofacial Surgery

Abstract

With the equipment advances, the minimal invasive techniques can be applied in new surgical fields and have more applications. In this chapter, we would like to present a minimally invasive technique for treating orbital blowout fractures. The technique described has been practiced by two medical centers, The Barzilai medical center, Israel and The Jacobi Medical Center, NY, USA since 2007. Our results presented a high success rate with minimal rate of complications, thus our technique is a safe way with minimal morbidity for treating orbital floor fractures.

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References

  1. Smith B, Regan WF. Blow-out fracture of the orbit: mechanism and correction of internal orbital fracture. Am J Ophthalmol. 1957;44(6):733–9.

    Article  CAS  PubMed  Google Scholar 

  2. Crikelair GF, Rein JM, Potter GU, Cosman B. A critical look at the “blowout” fracture. Plast Reconstr Surg. 1972;49(4):374–9.

    Article  CAS  PubMed  Google Scholar 

  3. Putterman AM, Stevens T, Urist MJ. Nonsurgical management of blow-out fractures of the orbital floor. Am J Ophthalmol. 1974;77(2):232–9.

    Article  CAS  PubMed  Google Scholar 

  4. Dulley B, Fells P. Orbital blow-out fractures: to operate or not to operate, that is the question. Br Orthopt J. 1974;31:47–54.

    Google Scholar 

  5. Liss J, Stefko ST, Chung WL. Orbital surgery: state of the art. Oral Maxillofac Surg Clin North Am. 2010;22(1):59–71.

    Article  PubMed  Google Scholar 

  6. Dortzbach RK, Elner VM. Which orbital floor blowout fractures need surgery? Adv Ophthalmic Plast Reconstr Surg. 1987;6:287.

    CAS  PubMed  Google Scholar 

  7. Kim YS, Kim JH, Hwang K. The frequency of decreased visual acuity in orbital fractures. J Craniofac Surg. 2015;26(5):1581–3. https://doi.org/10.1097/SCS.0000000000001860.

    Article  PubMed  Google Scholar 

  8. Joshi S, Kassira W, Thaller SR. Overview of pediatric orbital fractures. J Craniofac Surg. 2011;22(4):1330–2. https://doi.org/10.1097/SCS.0b013e31821c9365.

    Article  PubMed  Google Scholar 

  9. Perry M. Maxillofacial trauma—developments, innovations and controversies. Injury. 2009;40(12):1252–9. https://doi.org/10.1016/j.injury.2008.12.015.

    Article  PubMed  Google Scholar 

  10. Fraioli RE, Branstetter BF IV, Deleyiannis FW. Facial fractures: beyond Le Fort. Otolaryngol Clin N Am. 2008;41(1):51–76, vi. https://doi.org/10.1016/j.otc.2007.10.003.

  11. Ducasse A. Surgical orbital anatomy. In: Guthoff RF, Katowitz JA, editors. Oculoplastics and orbit. New York: Springer; 2007. p. 73–95.

    Google Scholar 

  12. Laxenaire A, Levy J, Blanchard P, Lerondeau JC, Tesnier F, Scheffer P. Silastic implants and reconstruction of the orbital floor: review of twenty years’ experience. Ann Chir Plast Esthet. 1996;41(6):631–8.

    CAS  PubMed  Google Scholar 

  13. Chen CT, Chen YR. Update on orbital reconstruction. Curr Opin Otolaryngol Head Neck Surg. 2010;18(4):311–6. https://doi.org/10.1097/MOO.0b013e32833aafd2.

    Article  PubMed  Google Scholar 

  14. Dubois L, Steenen SA, Gooris PJ, Mourits MP, Becking AG. Controversies in orbital reconstruction—I. Defect-driven orbital reconstruction: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):308–15. https://doi.org/10.1016/j.ijom.2014.12.002.

    Article  CAS  PubMed  Google Scholar 

  15. Koornneef L. Orbital septa: anatomy and function. Ophthalmology. 1979;86(5):876–80.

    Article  CAS  PubMed  Google Scholar 

  16. Harris GJ, Garcia GH, Logani SC, Murphy ML. Correlation of preoperative computed tomography and postoperative ocular motility in orbital blowout fractures. Ophthal Plast Reconstr Surg. 2000;16(3):179–87.

    Article  CAS  PubMed  Google Scholar 

  17. Harris GJ. Orbital blow-out fractures: surgical timing and technique. Eye (Lond). 2006;20(10):1207–12.

    Article  CAS  Google Scholar 

  18. Tenzel RR, Miller GR. Orbital blow-out fracture repair, conjunctival approach. Am J Ophthalmol. 1971;71:1141–2.

    Article  CAS  PubMed  Google Scholar 

  19. Mullins JB, Holds JB, Branham GH, Thomas JR. Complications of the transconjunctival approach. A review of 400 cases. Arch Otolaryngol Head Neck Surg. 1997;123(4):385–8.

    Article  CAS  PubMed  Google Scholar 

  20. Humphrey CD, Kriet JD. Sugical approaches to the orbit. Otolaryngology. 2008;19:132–9.

    Google Scholar 

  21. Collin R, Rose G, editors. Plastic and orbital surgery. London: BMJ Books; 2001.

    Google Scholar 

  22. Cheung K, Voineskos SH, Avram R, Sommer DD. A systematic review of the endoscopic management of orbital floor fractures. JAMA Facial Plast Surg. 2013;15(2):126–30.

    Article  PubMed  Google Scholar 

  23. Jin H-R, Yeon J-Y, Shin S-O, Choi Y-S, Lee D-W. Endoscopic versus external repair of orbital blowout fractures. Otolaryngol Head Neck Surg. 2007;136(1):38–44.

    Article  PubMed  Google Scholar 

  24. Hinohira Y, Yumoto E, Shimamura I. Endoscopic endonasal reduction of blowout fractures of the orbital floor. Otolaryngol Head Neck Surg. 2005;133(5):741–7.

    Article  PubMed  Google Scholar 

  25. Walter W. Early surgical repair of blowout fracture of the orbital floor by using the transantral approach. South Med J. 1972;65(10):1229.

    Article  CAS  PubMed  Google Scholar 

  26. Ducic Y, Verret DJ. Endoscopic transantral repair of orbital floor fractures. Otolaryngol Head Neck Surg. 2009;140(6):849–54.

    Article  PubMed  Google Scholar 

  27. Strong EB, Kim KK, Diaz RC. Endoscopic approach to orbital blowout fracture repair. Otolaryngol Head Neck Surg. 2004;131(5):683–95.

    Article  PubMed  Google Scholar 

  28. Persons BL, Wong GB. Transantral endoscopic orbital floor repair using resorbable plate. J Craniofac Surg [Internet]. 2002;13(3):483–9.

    Article  Google Scholar 

  29. Fernandes R, Fattahi T, Steinberg B, Schare H. Endoscopic repair of isolated orbital floor fracture with implant placement. J Oral Maxillofac Surg. 2007;65(8):1449–53.

    Article  PubMed  Google Scholar 

  30. Farwell DG, Sires BS, Kriet JD, Stanley RB. Endoscopic repair of orbital blowout fractures: use or misuse of a new approach? Arch Facial Plast Surg. 2007;9(6):427–33.

    Article  PubMed  Google Scholar 

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Correspondence to Oded Nahlieli DMD .

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Nahlieli, O., Abba, M. (2018). Minimally Invasive Approach to Orbital Trauma. In: Nahlieli, O. (eds) Minimally Invasive Oral and Maxillofacial Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54592-8_5

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  • DOI: https://doi.org/10.1007/978-3-662-54592-8_5

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