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العنوان
Efficacy of endoscopic transantral versus transorbital surgical approaches in the repair of orbital blowout fractures :
الناشر
Nahla Mahmoud Awad Allah ,
المؤلف
Nahla Mahmoud Awad Allah
تاريخ النشر
2018
عدد الصفحات
76 P. :
الفهرس
Only 14 pages are availabe for public view

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from 94

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