OBJECTIVES: Endoscopic approach provides excellent magnification and visualization, and a purely transnasal approach is minimally invasive method. However, it is very difficult to repair anterior and @entity174 with the previous transnasal endoscopic approaches, since repair of orbital fractures is managed through the middle meatus and ostium from the posterior side of the nasolacrimal duct with side-viewing endoscope and curved instruments. Therefore, the authors used modified transnasal endoscopic approach as an alternative for repair of orbital floor fractures in order to effectively reach the lateral or anterior @entity174 of the orbital floor with straight endoscope and instruments endoscopically. METHODS: Modified transnasal endoscopic approach through anterior space to nasolacrimal duct was performed in @entity1 with @entity8924 , when @entity1 rejected extranasal approach and reconstruction could not be performed by the previous purely transnasal endoscopic approach. After removal of the medial maxillary bone, the lateral wall of nose was shifted in the medial direction to allow wider access to the maxillary sinus. The bone fragments entrapping the orbital content are removed carefully, and correction of periorbita is performed. After surgery, @entity1 were asked whether they have symptoms and/or complications. RESULTS: This modified approach was performed in 15 @entity1 (10 males and 5 females). Mean age at surgery was 37.6 years with a range between 17 and 67. Double @entity227 disappeared in all @entity1 . CONCLUSIONS: This novel approach appears to be a safe and effective technique for the repair of orbital floor fractures.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0.

Repair of Orbital XXXX With Modified Transnasal Endoscopic Approach Through Anterior Space to Nasolacrimal Duct.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity8924 :: ('MESH:D009917', 'Disease') :: ['orbital floor fracture'] @entity227 :: ('MESH:D014786', 'Disease') :: ['vision'] @entity174 :: ('MESH:D050723', 'Disease') :: ['lateral fractures', 'fracture']
@entity174 :: (MESH:D050723,Disease) :: ['Floor Fracture']
