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http://dx.doi.org/10.5999/aps.2016.43.3.229

Considerations for the Management of Medial Orbital Wall Blowout Fracture  

Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine)
Park, Youngsoo (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine)
Chung, Kyu Jin (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine)
Publication Information
Archives of Plastic Surgery / v.43, no.3, 2016 , pp. 229-236 More about this Journal
Abstract
Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, transcutaneous, and transnasal endoscopic approaches are discussed. Reconstruction methods including onlay covering, inlay implantation, and repositioning methods are also discussed. Consideration and understanding of these should lead to more optimal outcomes.
Keywords
Orbital fractures; Surgical procedures, operative; Orbit;
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Times Cited By KSCI : 10  (Citation Analysis)
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1 Park MS, Kim YJ, Kim H, et al. Prevalence of diplopia and extraocular movement limitation according to the location of isolated pure blowout fractures. Arch Plast Surg 2012;39: 204-8.   DOI
2 Choi KE, Lee J, Lee H, et al. the paradoxical predominance of medial wall injuries in blowout fracture. J Craniofac Surg 2015;26:e752-5.   DOI
3 Choi M, Flores RL. Medial orbital wall fractures and the transcaruncular approach. J Craniofac Surg 2012;23:696-701.   DOI
4 Burm JS, Oh SJ. Direct local approach through a W-shaped incision in moderate or severe blowout fractures of the medial orbital wall. Plast Reconstr Surg 2001;107:920-8.   DOI
5 Shin KJ, Lee DG, Park HM, et al. The merits of mannitol in the repair of orbital blowout fracture. Arch Plast Surg 2013; 40:721-7.   DOI
6 Hwang K, Baik SH. Surgical anatomy of the orbit of Korean adults. J Craniofac Surg 1999;10:129-34.   DOI
7 Janfaza P. Surgical anatomy of the head and neck. Cambridge: Harvard University Press; 2011.
8 Zide BM, Luce CA, Boutros SG, et al. Surgical anatomy around the orbit : the system of zones. Philadelphia: Lippincott Williams & Wilkins; 2006.
9 Lim NK, Kang DH, Oh SA, et al. Orbital wall restoring surgery in pure blowout fractures. Arch Plast Surg 2014;41:686-92.   DOI
10 Chen CT, Huang F, Chen YR. Management of posttraumatic enophthalmos. Chang Gung Med J 2006;29:251-61.
11 Fujino T, Makino K. Entrapment mechanism and ocular injury in orbital blowout fracture. Plast Reconstr Surg 1980; 65:571-6.   DOI
12 Fujino T. Experimental "blowout" fracture of the orbit. Plast Reconstr Surg 1974;54:81-2.   DOI
13 Rhee JS, Kilde J, Yoganadan N, et al. Orbital blowout fractures: experimental evidence for the pure hydraulic theory. Arch Facial Plast Surg 2002;4:98-101.   DOI
14 Smith B, Regan WF Jr. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957;44:733-9.   DOI
15 Pfeiffer RL. Traumatic Enophthalmos. Trans Am Ophthalmol Soc 1943;41:293-306.
16 Rodriguez ED, Dorafshar AH, Manson PN. Facial fractures. In: Neligan P, Rodriguez ED, Losee JE, editors. Plastic surgery. Philadelphia: Elsevier Saunders; 2013. p.53-7.
17 Waterhouse N, Lyne J, Urdang M, et al. An investigation into the mechanism of orbital blowout fractures. Br J Plast Surg 1999;52:607-12.   DOI
18 Erling BF, Iliff N, Robertson B, et al. Footprints of the globe: a practical look at the mechanism of orbital blowout fractures, with a revisit to the work of Raymond Pfeiffer. Plast Reconstr Surg 1999;103:1313-6.   DOI
19 Dubois L, Steenen SA, Gooris PJ, et al. Controversies in orbital reconstruction- III. Biomaterials for orbital reconstruction: a review with clinical recommendations. Int J Oral Maxillofac Surg 2016;45:41-50.   DOI
20 Avashia YJ, Sastry A, Fan KL, et al. Materials used for reconstruction after orbital floor fracture. J Craniofac Surg 2012; 23:1991-7.
21 Chowdhury K, Krause GE. Selection of materials for orbital floor reconstruction. Arch Otolaryngol Head Neck Surg 1998; 124:1398-401.   DOI
22 Ilankovan V, Jackson IT. Experience in the use of calvarial bone grafts in orbital reconstruction. Br J Oral Maxillofac Surg 1992;30:92-6.   DOI
23 Talesh KT, Babaee S, Vahdati SA, et al. Effectiveness of a nasoseptal cartilaginous graft for repairing traumatic fractures of the inferior orbital wall. Br J Oral Maxillofac Surg 2009; 47:10-3.   DOI
24 Young VL, Schuster RH, Harris LW. Intracerebral hematoma complicating split calvarial bone-graft harvesting. Plast Reconstr Surg 1990;86:763-5.   DOI
25 Zins JE, Whitaker LA. Membranous versus endochondral bone: implications for craniofacial reconstruction. Plast Reconstr Surg 1983;72:778-85.   DOI
26 Lee KM, Park JU, Kwon ST, et al. Three-dimensional pre-bent titanium implant for concomitant orbital floor and medial wall fractures in an East asian population. Arch Plast Surg 2014;41:480-5.   DOI
27 Baek WI, Kim HK, Kim WS, et al. Comparison of absorbable mesh plate versus titanium-dynamic mesh plate in reconstruction of blow-out fracture: an analysis of long-term outcomes. Arch Plast Surg 2014;41:355-61.   DOI
28 Sung YS, Chung CM, Hong IP. The correlation between the degree of enophthalmos and the extent of fracture in medial orbital wall fracture left untreated for over six months: a retrospective analysis of 81 cases at a single institution. Arch Plast Surg 2013;40:335-40.   DOI
29 Dubois L, Steenen SA, Gooris PJ, et al. Controversies in orbital reconstruction-- II. Timing of post-traumatic orbital reconstruction: a systematic review. Int J Oral Maxillofac Surg 2015;44:433-40.   DOI
30 Kim NH, Kang SJ. Correlation between the time to surgery and that to recovery from postoperative diplopia based on a single-center, retrospective experience: a case series of 11 patients. Arch Plast Surg 2014;41:486-92.   DOI
31 Boyette JR, Pemberton JD, Bonilla-Velez J. Management of orbital fractures: challenges and solutions. Clin Ophthalmol 2015;9:2127-37.
32 Kim YH, Kim TG, Lee JH, et al. Inlay implanting technique for the correction of medial orbital wall fracture. Plast Reconstr Surg 2011;127:321-6.   DOI
33 Lee JW, Choi JI, Ha W, et al. Analysis and management of complications of open reduction and medpor insertion through transconjunctival incision in blowout fractures. Arch Craniofac Surg 2012;13:22-8.   DOI
34 Jung DW, Chung KJ, Kim YH. The use of a transparent corneal protector permits early detection of mydriasis to prevent blindness during orbital wall fracture surgery. Arch Plast Surg 2013;40:791-2.   DOI
35 Kim KS, Kim ES, Hwang JH. Combined transcutaneous transethmoidal/transorbital approach for the treatment of medial orbital blowout fractures. Plast Reconstr Surg 2006; 117:1947-55.   DOI
36 Choi TJ, Burm JS, Yang WY, et al. A wrapping method for inserting titanium micro-mesh implants in the reconstruction of blowout fractures. Arch Plast Surg 2016;43:84-7.   DOI
37 Mackenzie DJ, Arora B, Hansen J. Orbital floor repair with titanium mesh screen. J Craniomaxillofac Trauma 1999;5:9-16.
38 Schubert W, Gear AJ, Lee C, et al. Incorporation of titanium mesh in orbital and midface reconstruction. Plast Reconstr Surg 2002;110:1022-30.   DOI
39 Reich W, Seidel D, Bredehorn-Mayr T, et al. Reconstruction of isolated orbital floor fractures with a prefabricated titanium mesh. Klin Monbl Augenheilkd 2014;231:246-55.   DOI
40 Mok D, Lessard L, Cordoba C, et al. A review of materials currently used in orbital floor reconstruction. Can J Plast Surg 2004;12:134-40.   DOI
41 Dubois L, Steenen SA, Gooris PJ, et al. Controversies in orbital reconstruction-- I. Defect-driven orbital reconstruction: a systematic review. Int J Oral Maxillofac Surg 2015;44:308-15.   DOI
42 Bell RB, Markiewicz MR. Computer-assisted planning, stereolithographic modeling, and intraoperative navigation for complex orbital reconstruction: a descriptive study in a preliminary cohort. J Oral Maxillofac Surg 2009;67:2559-70.   DOI
43 Kim YH, Jung DW, Kim TG, et al. Correction of orbital wall fracture close to the optic canal using computer-assisted navigation surgery. J Craniofac Surg 2013;24:1118-22.   DOI
44 Hassfeld S, Muhling J, Zoller J. Intraoperative navigation in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 1995; 24:111-9.   DOI
45 Lee MJ, Kang YS, Yang JY, et al. Endoscopic transnasal approach for the treatment of medial orbital blow-out fracture: a technique for controlling the fractured wall with a balloon catheter and Merocel. Plast Reconstr Surg 2002;110:417-26.   DOI
46 Jung JA, Gong JS, Kim YW, et al. modified direct w-incision with silicone sheet to minimize operation scar in reconstruction of mild to moderate symptomatic medial orbital wall fracture. Arch Craniofac Surg 2013;14:30-5.   DOI
47 Kim HK, Baek WI, Bae TH, et al. Usefulness of subciliary approach by using lacrimal sac stripping for large isolated medial orbital fracture reconstruction. Ann Plast Surg 2015; 75:170-3.   DOI
48 Kim HS, Kim SE, Evans GR, et al. The usability of the upper eyelid crease approach for correction of medial orbital wall blowout fracture. Plast Reconstr Surg 2012;130:898-905.   DOI
49 Lee TH, Lee HM, Lee JM, et al. Endoscopic reduction of orbital medial wall fracture using rotational repositioning of the fractured: lamina papyracea fragment. J Craniofac Surg 2014;25:460-2.   DOI
50 We J, Kim Y, Jung T, et al. Modified technique for endoscopic endonasal reduction of medial orbital wall fracture using a resorbable panel. Ophthal Plast Reconstr Surg 2009;25:303-5.   DOI
51 Jeon SY, Kim C, Ma Y, et al. Microsurgical intranasal reconstruction of isolated blowout fractures of the medial orbital wall. Laryngoscope 1996;106:910-3.   DOI
52 Ellis E, Zide MF. Surgical approaches to the facial skeleton. Philadelphia: Lippincott Williams & Wilkins; 2006.
53 Hoelzle F, Klein M, Schwerdtner O, et al. Intraoperative computed tomography with the mobile CT Tomoscan M during surgical treatment of orbital fractures. Int J Oral Maxillofac Surg 2001;30:26-31.   DOI
54 Wilde F, Lorenz K, Ebner AK, et al. Intraoperative imaging with a 3D C-arm system after zygomatico-orbital complex fracture reduction. J Oral Maxillofac Surg 2013;71:894-910.   DOI
55 Liu XZ, Shu DL, Ran W, et al. Digital surgical templates for managing high-energy zygomaticomaxillary complex injuries associated with orbital volume change: a quantitative assessment. J Oral Maxillofac Surg 2013;71:1712-23.   DOI