Four Practical Reconstructive Techniques Using the Transantral Approach to the Orbital Floor Without the Need for an...

Area of Science:

• Ophthalmology
• Oral and Maxillofacial Surgery
• Plastic Surgery

Background:

• Traditional transorbital approaches for orbital floor fractures carry risks of eyelid complications like entropion or ectropion.
• Transconjunctival and transcutaneous approaches have specific drawbacks, necessitating alternative methods.
• The intraoral transantral approach offers a promising alternative to minimize eyelid morbidity.

Purpose of the Study:

• To describe four plating methods for orbital floor reconstruction using the intraoral transantral approach.
• To highlight the advantages of the transantral technique in avoiding eyelid complications.
• To present an endoscope-free osteotomy technique for orbital floor repair.

Main Methods:

• Utilized an intraoral transantral approach for accessing orbital floor fractures.
• Described four distinct plating techniques for fracture stabilization and reconstruction.
• Employed a headlight for visualization, eschewing the need for endoscopic equipment.

Main Results:

• The intraoral transantral approach successfully facilitated reduction of herniated orbital contents and restoration of orbital volume.
• Four plating methods were demonstrated, offering versatile reconstruction options.
• The endoscope-free osteotomy technique proved effective for visualization and surgical execution.

Conclusions:

• The intraoral transantral approach is an effective method for orbital floor fracture repair, minimizing risks of eyelid malposition.
• This technique provides adequate access for reconstruction without the need for endoscopic assistance.
• The described plating methods offer reliable solutions for restoring orbital integrity.