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Article Type

Article

Abstract

A blowout fracture is a fracture of the walls or floor of the orbit, due to blunt orbital trauma.

Management is conservative or surgical when indicated, and classical external approaches are subciliary, transconjunctival, and subtarsal. We report a case of orbital blowout fracture, presented with vertical diplopia and managed successfully by transnasal endoscopic approach.

This approach is very promising for the management of blowout fracture with ocular movement limitation owing to trapped muscles or fascia. It is minimally invasive, avoids surgical scars and eye traction, and shortens operative time. The limitation is it gives no access to lateral wall fractures.

Keywords: blowout, endoscopic, fracture, orbital, transnasal

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