{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T20:30:50Z","timestamp":1789158650695,"version":"build-2803163510"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T00:00:00Z","timestamp":1651708800000},"content-version":"vor","delay-in-days":2742,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>\n          Background  Restoring orbital volume in large blowout fractures is still a technically challenge to the orbital surgeon. In this study, we restored the orbital wall using the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses, and we compared the surgical outcome to that of a conventional transorbital method.<\/jats:p><jats:p>\n          Methods  A retrospective review of all patients with pure unilateral blowout fractures between March 2007 and March 2013 was conducted. 150 patients were classified into two groups according to the surgical method: conventional transorbital method (group A, 75 patients, control group), and the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses (group B, 75 patients, experimental group). Each group was subdivided depending on fracture location: group I (inferior wall), group IM (inferomedial wall), and group M (medial wall). The surgical results were assessed by the Hertel scale and a comparison of preoperative and postoperative orbital volume ratio (OVR) values.<\/jats:p><jats:p>\n          Results  In the volumetric analysis, the OVR decreased more by the experimental groups than each corresponding control groups (P&lt;0.05). Upon ophthalmic examination, neither the differences among the groups in the perioperative Hertel scale nor the preoperative and postoperative Hertel scales were statistically significant (P&gt;0.05).<\/jats:p><jats:p>\n          Conclusions  Our surgical results suggest that orbital volume was more effectively restored by the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses than the conventional method, regardless of the type of fracture.<\/jats:p>","DOI":"10.5999\/aps.2014.41.6.686","type":"journal-article","created":{"date-parts":[[2014,11,5]],"date-time":"2014-11-05T05:44:10Z","timestamp":1415166250000},"page":"686-692","source":"Crossref","is-referenced-by-count":17,"title":["Orbital Wall Restoring Surgery in Pure Blowout Fractures"],"prefix":"10.1055","volume":"41","author":[{"given":"Nam Kyu","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hee","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Ah","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ja Hea","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,5]]},"reference":[{"key":"ref1","first-page":"53","volume-title":"Facial fractures","author":"ED Rodriguez","year":"2013"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.bjps.2003.10.006","article-title":"Combination of transconjunctival and endonasal-transantral approach in the repair of blowout fractures involving the orbital floor","volume":"57","author":"M Kakibuchi","year":"2004","journal-title":"Br J Plast Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.fsc.2005.11.001","article-title":"Endoscopic repair of orbital floor fractures","volume":"14","author":"DG Farwell","year":"2006","journal-title":"Facial Plast Surg Clin North Am"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/SCS.0b013e318240c88e","article-title":"Combination of transorbital and endoscopic transnasal approaches to repair orbital medial wall and floor fractures","volume":"23","author":"W Shi","year":"2012","journal-title":"J Craniofac Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1055\/s-0033-1343785","article-title":"Combined orbital floor and medial wall fractures involving the inferomedial strut: repair technique and case series using preshaped porous polyethylene\/titanium implants","volume":"6","author":"RI Cho","year":"2013","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1097\/SCS.0b013e31828b6c2d","article-title":"Change of the orbital volume ratio in pure blow-out fractures depending on fracture location","volume":"24","author":"SA Oh","year":"2013","journal-title":"J Craniofac Surg"},{"key":"ref7","first-page":"1177","article-title":"The reliability of Hertel exophthalmometry. Observer variation between physician and lay readers","volume":"92","author":"DC Musch","year":"1985","journal-title":"Ophthalmology"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"2404","DOI":"10.1016\/j.joms.2008.11.024","article-title":"Degrees of tolerance in post-traumatic orbital volume correction: the role of prefabricated mesh","volume":"67","author":"P Andrades","year":"2009","journal-title":"J Oral Maxillofac Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2014.41.6.686.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T22:44:12Z","timestamp":1651790652000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2014.41.6.686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":8,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,5,5]]},"published-print":{"date-parts":[[2014,11]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2014.41.6.686","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11]]}}}