经鼻内镜单独进行视神经管减压和眶壁爆裂性骨折均有大量的文献报道[1,2],并积累了丰富的临床经验,但二者同时发生并通过一期手术获得良好的临床效果的病例很少涉及。鼻内镜下实施视神经减压的手术进路和眶内侧壁修复等问题中彼此有相矛盾之处,值得临床思考。我们于2007年6月收治眶壁严重的严重的 Transnasal endoscopic singular decompression of the optic canal and orbital blowout fractures are a large number of reports [1,2], and has accumulated rich clinical experience, but both simultaneously and through a surgery to obtain a good clinical The case of effect is rarely involved. Nasal endoscopic optic nerve decompression surgery and repair of the orbital wall and other issues in which there is a contradiction between each other, it is worth clinical thinking. We in June 2007 admitted serious orbital serious