Case Report
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J Cosmet Med 2021; 5(2): 78-81
Published online December 31, 2021
Orbital floor fracture reduction using the prelacrimal approach: a case report
Geun Woo Park 
, MD, Tae Young Jung , MD
Department of Otorhinolaryngology Head and Neck Surgery, Maryknoll Medical Center, Busan, Rep. of Korea
Correspondence to :
Tae Young Jung
E-mail: handsjung@naver.com
© Korean Society of Korean Cosmetic Surgery & Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Orbital floor fractures are caused by blunt trauma to the orbital floor, the weakest part of the orbital wall. Reduction of orbital floor fractures is important to prevent complications such as diplopia and enophthalmos. The approach used in reducing orbital floor fractures can be classified into three types: transorbital, transantral, and intranasal approaches. Each approach has limitations such as scarring, numbness, and a narrow surgical view. The prelacrimal approach as a technique has the advantage of a previous intranasal approach, in that it uses the middle meatal antrostomy for the endoscopic approach and improves the limitation of the previous intranasal approach. It provides not only a wide surgical view and clear view of the fracture site, but also an easy approach to the reduction site in the outpatient department after surgery. We suggest the prelacrimal approach as a new option for the reduction of orbital floor fractures.
Keywords: endoscopy, open fracture reduction, orbital fractures
Fig. 1.Preoperative computed tomography findings showing a left inferior orbital wall fracture (arrows) (A, B) and a nasal bone fracture (arrowhead) (C).
- Kwon J. Update in treatment of orbital blowout fractures. Korean J Otorhinolaryngol-Head Neck Surg 2011;54:317-23.
- Burnstine MA. Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis. Ophthalmology 2002;109:1207-10; discussion 1210-1; quiz 1212-3.
- Suzuki M, Nakamura Y, Nakayama M, Inagaki A, Murakami S, Takemura K, et al. Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 2011;121:2399-401.
- Brady SM, McMann MA, Mazzoli RA, Bushley DM, Ainbinder DJ, Carroll RB. The diagnosis and management of orbital blowout fractures: update 2001. Am J Emerg Med 2001;19:147-54.
- DeFreitas J, Lucente FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975-1985. Laryngoscope 1988;98:1297-300.
- Low WK. Complications of the Caldwell-Luc operation and how to avoid them. Aust N Z J Surg 1995;65:582-4.
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Case Report
J Cosmet Med 2021; 5(2): 78-81
Published online December 31, 2021 https://doi.org/10.25056/JCM.2021.5.2.78
Copyright © Korean Society of Korean Cosmetic Surgery & Medicine.
Orbital floor fracture reduction using the prelacrimal approach: a case report
Geun Woo Park , MD, Tae Young Jung , MD
Department of Otorhinolaryngology Head and Neck Surgery, Maryknoll Medical Center, Busan, Rep. of Korea
Correspondence to:Tae Young Jung
E-mail: handsjung@naver.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Orbital floor fractures are caused by blunt trauma to the orbital floor, the weakest part of the orbital wall. Reduction of orbital floor fractures is important to prevent complications such as diplopia and enophthalmos. The approach used in reducing orbital floor fractures can be classified into three types: transorbital, transantral, and intranasal approaches. Each approach has limitations such as scarring, numbness, and a narrow surgical view. The prelacrimal approach as a technique has the advantage of a previous intranasal approach, in that it uses the middle meatal antrostomy for the endoscopic approach and improves the limitation of the previous intranasal approach. It provides not only a wide surgical view and clear view of the fracture site, but also an easy approach to the reduction site in the outpatient department after surgery. We suggest the prelacrimal approach as a new option for the reduction of orbital floor fractures.
Keywords: endoscopy, open fracture reduction, orbital fractures
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References
- Kwon J. Update in treatment of orbital blowout fractures. Korean J Otorhinolaryngol-Head Neck Surg 2011;54:317-23.
- Burnstine MA. Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis. Ophthalmology 2002;109:1207-10; discussion 1210-1; quiz 1212-3.
- Suzuki M, Nakamura Y, Nakayama M, Inagaki A, Murakami S, Takemura K, et al. Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 2011;121:2399-401.
- Brady SM, McMann MA, Mazzoli RA, Bushley DM, Ainbinder DJ, Carroll RB. The diagnosis and management of orbital blowout fractures: update 2001. Am J Emerg Med 2001;19:147-54.
- DeFreitas J, Lucente FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975-1985. Laryngoscope 1988;98:1297-300.
- Low WK. Complications of the Caldwell-Luc operation and how to avoid them. Aust N Z J Surg 1995;65:582-4.
