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Comparison of preseptal and retroseptal transconjunctival approaches in patients with isolated fractures of the orbital floor.
Journal article

Comparison of preseptal and retroseptal transconjunctival approaches in patients with isolated fractures of the orbital floor.

  • Barcic S Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland.
  • Blumer M Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland.
  • Essig H Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland.
  • Schumann P Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland.
  • Wiedemeier DB Statistical Services, Center of Dental Medicine, University of Zürich, Zürich, Switzerland.
  • Rücker M Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland.
  • Gander T Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland. Electronic address: Thomas.Gander@usz.ch.
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  • 2018-02-06
Published in:
  • Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. - 2018
Ectropium
Entropium
Preseptal
Retroseptal
Symblepharon
Transconjunctival approach
Adult
Conjunctiva
Female
Humans
Male
Middle Aged
Orbit
Orbital Fractures
Retrospective Studies
Surgical Procedures, Operative
English Transconjunctival approach has become a standard procedure to access fractures of orbit and the infraorbital rim. The transconjunctival incision can be performed pre- or retroseptally. Both approaches have been described combined with modifications such as transcaruncular or detachment of the lateral canthus for wider exposure of the orbital walls and rim. Particularly concerning aesthetics, the transconjunctival approach shows advantages compared to the transcutaneous incisions, such as the transciliary and infraorbital access. Moreover, transconjunctival approach is preferred in the literature regarding lid retraction. In this study the preseptal approach is compared with the retroseptal approach concerning en- or ectropion, foreign body sensation and formation of symblepharon. In our collective complication rates were lower in the retroseptal transconjunctival group, although this was not statistically significant. Whether the preseptal or the retroseptal transconjunctival approach is selected, is rather based on the surgeon's preferences. Nevertheless, the retroseptal approach must be considered as advantageous alternative to the preseptal approach because of simpler surgical technique and the safer distance to the vulnerable lid apparatus.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/258145
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