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The transconjunctival approach for treating orbital trauma.

P D Waite1, D D Carr

  • 1Department of Oral and Maxillofacial Surgery, University of Alabama School of Dentistry, Birmingham 35294.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|May 1, 1991
PubMed
Summary

This study demonstrates that a transconjunctival incision with lateral canthotomy offers safe and effective access for orbital floor and rim reconstruction in maxillofacial trauma patients. The technique resulted in no complications and satisfactory surgical outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Ophthalmic Plastic Surgery
  • Trauma Surgery

Background:

  • Maxillofacial injuries often involve complex orbital fractures requiring specialized surgical approaches.
  • Traditional surgical access for orbital reconstruction can lead to visible facial scarring.

Purpose of the Study:

  • To evaluate the efficacy and safety of a transconjunctival incision and lateral canthotomy approach for orbital floor and rim reconstruction.
  • To assess the surgical exposure and patient outcomes following this minimally invasive technique.

Main Methods:

  • A retrospective review of twelve patients with maxillofacial injuries.
  • Surgical reconstruction of orbital floor and/or inferior/lateral rims using a transconjunctival incision and lateral canthotomy.
  • Mean follow-up period of 12 months.

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Main Results:

  • The transconjunctival approach provided satisfactory exposure and access for reduction and rigid fixation in all cases.
  • No immediate or delayed complications were observed during the follow-up period.
  • The single incision facilitated reconstruction of both inferior and lateral orbital rims.

Conclusions:

  • The transconjunctival incision with lateral canthotomy is a safe and effective surgical technique for orbital floor and rim reconstruction in maxillofacial trauma.
  • This approach offers excellent surgical access without compromising aesthetic outcomes or patient safety.