Abstract
The article presents the method of transnasal surgical treatment of patients with a fracture of the medial wall of the orbit using the Volkov elevator as a repositioning tool and an iodine tampon as a fixation material, which allows efficient fixation of the medial orbit wall fragments and its soft tissue components, allowing to reduce the trauma of surgical intervention, to restore the eyeball position, and to eliminate the cause of emphysema and dynamic correction of postoperative diplopia in one-time operation.
Highlights
Isolated orbital fractures occur in 16.1% of fractures involving the orbit
Diplopia is more often associated with a significant displacement of bone fragments and soft tissue components of the orbit into the paranasal sinuses
Restriction of eyeball movements is observed in 86% of medial orbital wall fractures and in 12% of inferior orbital wall fractures
Summary
Isolated orbital fractures occur in 16.1% of fractures involving the orbit. Diagnosis and treatment of such injuries in the acute period is difficult, and the occurrence of permanent post-traumatic deformities is often the reason for multistage reconstructive treatment. Restriction of eyeball movements is observed in 86% of medial orbital wall fractures and in 12% of inferior orbital wall fractures. Para-orbital accesses, allowing adequate inspection of the injured area, are associated with the risk of damage to large nerve and vascular trunks, which limits reconstructive surgery to the medial wall of the orbit. An alternative to the classic approach for injuries to the medial wall of the orbit is the transnasal approach, which is widely used by oral surgeons. It is widely used in oral and maxillofacial surgery. Research objective: Transnasal surgical treatment of patients with a fracture of the medial wall of the orbit
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