Abstract
For blowout fractures of the orbital floor, surgical procedures have routinely involved a transantral, transorbital, or endonasal endoscopic approach, or some combination of them. We have adopted a combination of transantral and transorbital approaches, a combined approach, since 2009. In the transantral approach, the
orbital tissue can be lifted upward through the maxillary sinus using endoscopes. Using a transorbital approach, the orbital floor can be approached to pull the orbital tissue upward via subciliary incision. The transorbital
approach is useful for fractures in the anterior part of the orbital floor, but has less benefit for fractures in the posterior part. A combined approach overcomes this shortcoming without any postoperative esthetic complications. This report describes two patients with blowout fractures in the orbital floor who underwent reconstruction using a combined approach.
