Endonasal endoscopic treatment of medial orbital wall fracture via rotational repositioning

Various surgical approaches have been employed to treat the medial orbital wall fracture. It has been necessary to use grafts or splints in these approaches. We introduced a new technique to treat our patient with diplopia resulting from medial orbital fracture. In this new method, rotational repositioning of the fractured segment eliminates the use of any graft or synthetic material in the nose, ethmoid sinuses, or the orbit. The procedure could be done under local anesthesia, which facilitates intraoperative monitoring of the ocular movements to evaluate improvement of diplopia. Rotational repositioning technique could be an effective alternative method to previous approaches in treatment of selected medial orbital wall fractures.