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Three-Dimensional Reconstruction of Orbital Fractures

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TRANSCONJUNCTIVAL APPROACH FOR SURGICAL REPAIR OF INFRAORBITAL RIM FRACTURES AND ORBITAL FLOOR FRACTURES.

J Abelovský, R Slávik, B Hocková

Ceska a Slovenska Oftalmologie : Casopis Ceske Oftalmologicke Spolecnosti a Slovenske Oftalmologicke Spolecnosti

|August 11, 2023

Summary

The transconjunctival surgical approach is effective for infraorbital rim and orbital floor fractures, offering comparable complication rates to traditional methods. This technique, with or without lateral canthotomy, provides good functional and aesthetic outcomes in maxillofacial surgery.

Keywords:

infraorbital rim orbital floor transconjunctival approach

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Area of Science:

Maxillofacial Surgery
Ophthalmology
Trauma Surgery

Background:

Fractures of the infraorbital rim and orbital floor are common in maxillofacial trauma.
Surgical intervention is often necessary to restore function and aesthetics.
The transconjunctival approach offers a less invasive alternative to traditional transcutaneous methods.

Purpose of the Study:

To retrospectively evaluate the transconjunctival surgical approach for infraorbital rim and orbital floor fractures.
To analyze operating time, perioperative and postoperative complications, and functional/aesthetic outcomes.
To compare the transconjunctival approach with the supraorbital eyebrow approach.

Main Methods:

Retrospective study of patients undergoing transconjunctival approach (December 2017 - December 2021).
Analysis of epidemiological causes of midface fractures.
Comparison of operating time with a control group using the supraorbital eyebrow approach.
Incidence of complications compared with existing literature.

Main Results:

The transconjunctival approach was used 103 times on 89 patients.
No increase in operating time was observed when lateral canthotomy was used.
Perioperative complications (lower eyelid perforation) occurred in 2 patients.
Postoperative complications (ectropion/entropion) occurred in 3 patients.
Overall complication rates were comparable to transcutaneous approaches.

Conclusions:

The transconjunctival approach, alone or with lateral canthotomy, is a viable surgical option.
It demonstrates favorable functional and aesthetic outcomes for infraorbital rim and orbital floor fractures.
This approach offers comparable safety and efficacy to traditional methods.