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Efficacy of endoscopic transantral versus transorbital surgical approaches in the repair of orbital blowout fractures : Randomized clinical trial /

Nahla Mahmoud Awad Allah

Efficacy of endoscopic transantral versus transorbital surgical approaches in the repair of orbital blowout fractures : Randomized clinical trial / اختبار فعالية استخدام المنظار عن طريق الغار مقابل استخدام النهج الجراحى عن طريق العين فى اصلاح كسور ارضية الحجاج : تجربة اكلينيكية عشوائية Nahla Mahmoud Awad Allah ; Supervised Ibrahim Ezzat Shindy , Reem Hamdy Hossam Eldin , Samer Noaman Abdelgabar - Cairo : Nahla Mahmoud Awad Allah , 2018 - 76 P. : charts , facsimiles ; 25cm

Thesis (Ph.D.) - Cairo University - Faculty of Oral and Dental Medicine - Department of Oral and Maxillofacial Surgery

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



Collagen membrane Diplopia improvement Orbital blow out