Pros and Cons of the Transconjunctival Retroseptal Approach to the Isolated Orbital Floor Fracture

To get access into the orbital floor 3 paths are commonly used which are transconjunctival, subciliary and subtarsal approaches. Each one of these approaches has its advantages and disadvantages. The study assessed the outcomes of the transconjunctival retroseptal approach, which reflects our experience in this type of surgery. Along 8 years, 26 patients received in the emergency room diagnosed with pure isolated orbital floor fractures, all of them admitted to the maxillofacial surgery department and approached by transconjunctival incision without lateral canthotomy. Three types of complications occurred: laceration of the lower eyelid, injury to the lacrimal system and entropion. All of these complications were managed accordingly with no long-term deficit. Although the transconjunctival approach without lateral canthotomy is limited to a certain degree, it has the advantages of hidden scar, easy, and short time to achieve.