ORBITAL FLOOR RECONSTRUCTION WITH TRANS-ANTRAL APPROACH USING ENDOSCOPE

Background and objective: Orbital floor fractures are very common in current day to day scenario. Till date different treatment modalities have been tried to reconstruct the orbital fractures. Conventionally various transorbital approaches have been used. But in cases where there is involvement of posterior part of orbit there is drawback of incomplete accessibility. To overcome this endoscopic assistance tends to get mandatory through trans-antral approach for better visualization, providing a good alternative to conventional approach. Case Report: A 55-year-old male patient with pure blowout fracture along with persistent diplopia and enophthalmos was operated with sub tarsal approach along with trans antral approach using endoscope. Result: The post-surgical results were satisfactory in respect to correction of diplopia and enophthalmos. Conclusion: Conventional approach assisted with endoscope provides a new method of managing Orbital floor fractures improving treatment outcomes.