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Complications of the transconjunctival approach. A review of 400 cases

J B Mullins¹, J B Holds, G H Branham

¹Physician Skin Care and Facial Plastic Surgery Center, Sebastian, Fla, USA.

Archives of Otolaryngology--Head & Neck Surgery

|April 1, 1997

Abstract

Objective:

To review the intraoperative and postoperative complications of the transconjunctival approach, as well as their prevention, management, and outcomes.

Design:

A retrospective study of the complications in 400 patients who underwent the transconjunctival approach to the lower eyelid or orbit for treatment of orbital trauma or the aging face.

Setting:

Academic tertiary referral medical center.

Results:

There were 8 cases of conjunctival granuloma, 2 cases of entropion, and 1 case each of hematoma, ectropion, prolonged chemosis, conjunctival inclusion cyst, lower eyelid laceration, and avulsion with lacrimal system injury.

Conclusions:

Complications of the transconjunctival approach are uncommon. When they do occur, proper management results in a successful outcome.

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