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Use of the preseptal transconjunctival approach in orbit reconstruction surgery.
- Source :
-
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2001 Mar; Vol. 59 (3), pp. 287-91; discussion 291-2. - Publication Year :
- 2001
-
Abstract
- Purpose: This report evaluated the advantages of the preseptal transconjunctival approach in reconstruction of the orbit.<br />Patients and Methods: Ninety-nine preseptal incisions were used in 80 patients for different indications (blowout fracture, complex zygoma fracture, enophthalmos correction, midface hypoplasia, secondary incision). All operative procedures were performed without an additional lateral canthotomy. The infraorbital rim was stabilized with miniplates or microplates.<br />Results: There was no ectropion or entropion in any patients. Complications included 1 laceration of the tarsal plate and 1 temporary entropion after a primary subciliary incision. The overall complication rate was 2%.<br />Conclusions: The preseptal transconjunctival incision without lateral canthotomy provides good exposure of the orbital floor and the caudal parts of the lateral and medial wall. This approach is preferable to a retroseptal approach in reconstructive orbital surgery because of minimal disturbance of the intraorbital connective tissue framework. The anatomic optimal dissection line also results in a lower complication rate.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Bone Plates
Child
Conjunctiva injuries
Enophthalmos surgery
Entropion etiology
Eyelids injuries
Female
Follow-Up Studies
Humans
Intraoperative Complications
Male
Microsurgery instrumentation
Middle Aged
Orbit abnormalities
Orbital Fractures surgery
Osteotomy instrumentation
Postoperative Complications
Plastic Surgery Procedures adverse effects
Reoperation
Zygomatic Fractures surgery
Conjunctiva surgery
Orbit surgery
Plastic Surgery Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 0278-2391
- Volume :
- 59
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 11243611
- Full Text :
- https://doi.org/10.1053/joms.2001.20997