Endoscopic Intraoral Plating of Orbital Floor Fractures

Purpose: This article describes a new endoscopic approach for orbital floor fractures, reduction, and fixation and reports the clinical results. Patients and Methods: Ten patients who sustained either a comminuted or trap door orbital floor fracture were treated in 2 medical centers following the same surgical protocol. The indications for orbital reconstruction were limited eye movement, diplopia, and significant enophthalmos. The new approach is discussed in detail. Results: All patients healed uneventfully. No major complications were noted in the postoperative period, and good functional and esthetic results were obtained. Conclusions: Our results demonstrate that endoscopic intraoral plating is a safe and effective procedure for treating orbital floor fractures.