Related Experiment Videos
The temporal approach to impacted lateral orbital wall fractures
1Department of Otolaryngology-Head and Neck Surgery, University of Southern California School of Medicine, Los Angeles 90033.
Archives of Otolaryngology--Head & Neck Surgery
|May 1, 1988
Summary
Severe orbital wall fractures can injure the eye and optic nerve. A temporal approach offers safer surgical access for these complex zygomatico-orbital injuries.
Area of Science:
- Ophthalmology
- Neurosurgery
- Plastic Surgery
Background:
- Lateral orbital wall fractures, involving the zygoma and sphenoid bones, can lead to posterior displacement.
- These fractures pose significant risks of ocular and optic nerve damage.
Observation:
- Standard periorbital incisions may exacerbate ophthalmic injuries during fragment manipulation.
- A temporal approach via hemicoronal incision provides wider exposure of the lateral zygomatico-orbital region.
Findings:
- The temporal approach allows direct visualization and manipulation of fractured segments.
- This method avoids globe retraction pressure, minimizing further damage to the eye and optic nerve.
Implications:
- The temporal approach is a safer surgical option for complex lateral orbital wall fractures.
- This technique may reduce complications and improve outcomes for compromised eyeballs and optic nerves.