眶内侧壁击出性骨折的ＣＴ诊断有重要价值。在治疗上以前主要采取经眶及鼻外筛窦切除术，新近则采用经鼻内显微镜下行眶内侧壁成形术，既避免了鼻外切口，又收到了美观效果。其手术方法是局麻下，首先经中鼻道，在显微镜下切除钩突和筛泡，打开筛窦，辨认筛房侧面纸样板和疝出? Diagnosis of orbital wall strike fracture has important value in CT diagnosis. In the treatment of the former mainly taken by the orbital and nasal sinus resection, the recent adoption of nasal endoscopic orbital wall angioplasty, both to avoid the nasal incision, but also received a beautiful effect. The surgical method is under local anesthesia, the first through the nasal passages, under the microscope excision of the uncinate process and sieve, open the ethmoid sinus, identify the side of the screen paper model and hernia out?