Endoscopic repair of facture medial wall and floor of the orbite

Step 1
The uncinate is identified and resected. Approximately 3 to 4 mm of uncinate is left intact superiorly to prevent frontal recess stenosis. This exposed the natural ostium of the maxillary sinus and an antrostomy is performed in a posterior and inferior direction. with reduction of the floor by 455degree forceps

Step 2
The ethmoidal bulla is then entered medially and resected to expose the lamina papyracea defect.

Step 3
The orbital implant (silastic sheath) is then cut to the appropriate shape and size to cover the orbital floor and lamina papyracea defect .Also supparting the floor by foly's catheter.

postoperative finding: