Cutaneous approaches to the lower lid and orbit

Area of Science:

• Ophthalmology
• Plastic Surgery
• Surgical Techniques

Background:

• Periorbital surgery requires careful consideration of surgical approaches.
• The transconjunctival technique has gained popularity, but cutaneous approaches remain relevant.
• Limited comparative data exist between transconjunctival and cutaneous periorbital surgery.

Purpose of the Study:

• To compare the efficacy and outcomes of cutaneous versus transconjunctival approaches in periorbital surgery.
• To evaluate the benefits and drawbacks of the subtarsal lid crease incision.

Main Methods:

• Review of existing literature comparing transconjunctival and cutaneous periorbital surgical approaches.
• Analysis of outcomes including operative field exposure, complications, and cosmetic results.
• Specific evaluation of the subtarsal lid crease incision compared to other periorbital access methods.

Main Results:

• Few significant differences exist between transconjunctival and cutaneous approaches.
• The cutaneous approach avoids conjunctival manipulation and potential complications.
• The subtarsal lid crease incision provides comparable speed, exposure, and low lid malposition rates to orbital rim incisions, with good cosmetic outcomes.

Conclusions:

• The cutaneous approach, particularly the subtarsal lid crease incision, is a viable and effective method for periorbital surgery.
• This approach offers advantages in avoiding specific complications associated with transconjunctival techniques.
• Surgeons should consider the subtarsal lid crease incision as a reliable option for esthetic and trauma-related periorbital procedures.