الفهرس | Only 14 pages are availabe for public view |
Abstract Objective: To assess the efficacy of endoscopic transantral surgical approach versus traditional transorbital surgical approach (CIC; control group) in orbital blow out fractures in terms of postoperative clinical and digital radiographical assessments.Design: Blind, randomized, controlled clinical trial. Patients: from December 2016 to February 2018, 12 patients with pure orbital blow out.Intervention: six patients managed with transantral endoscopic approach and reconstructed with reinforced collagen membrane.Six patients managed with transconjunctival approach and reconstructed with Titanium mesh Outcomes Measures: diplopia improvement was assessed after 6 months via forced duction test and patient assessments.Results: Diplopia improved equally in both groups.Conclusions: Endoscopically controlled reconstruction provides, besides improved visualization, confirmation of correct implant placement, and reduction of herniated orbital tissues |