Endoscopic endonasal reduction surgery for isolated inferior blowout fractures
by Yasuyuki Hinohira Yadav, Yasuyuki et Yadav

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates the endonasal endoscopic reduction of an isolated blowout fracture of the orbital floor. A wide exposure is essential for a successful endoscopic reduction of an inferior blowout fracture. This can be achieved by a wide middle meatal antrostomy, but may have to be occasionally combined with an inferior meatal antrostomy in certain cases, especially when exposure of the anterior orbital floor is needed. After removing the offending fractured fragment, one needs to maintain the elevation of the orbital floor with balloon catheters that may be left in place for a few days. A thorough knowledge of the endoscopic anatomy is vital to endure a successful outcome for such procedures. The key features of this technique are a wide middle meatal antrostomy, the use of angled telescopes when required, and the ability to modify the approach, so as to gain a wide exposure which is vital for the success of such a procedure.

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