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'Sutureless' transconjunctival approach for infraorbital rim fractures
Vaibhav Nagaraj1, Abhishek Ghosh1, Madan Nanjappa1
1Department of Oral and Maxillofacial Surgery, V. S. Dental College and Hospital, Bengaluru, Karnataka, India.
Aim:
To analyze the ease and surgical outcome of using sutureless transconjunctival approach for repair of infra-orbital fractures.
Design:
Prospective clinical case series.
Materials And Methods:
Totally 5 patients with infra-orbital rim or orbital floor fractures were selected and the fractures were accessed through a pre-septal transconjunctival incision. After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position. Incidence of post-operative complications such as diplopia, lid retraction, eyelid dystopia, foreign body granuloma and poor conjunctival healing was assessed at intervals of 1 week, 15 days and a month post-operatively.
Results:
No complications were observed in any of the 5 patients. Healing was satisfactory in all patients.
Conclusion:
The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.
