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Semin Plast Surg 2002; 16(3): 273-282
DOI: 10.1055/s-2002-34431
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Palpebral Surgical Approaches for Orbital Fracture Repair

Charles N.S. Soparkar1,2 , James R. Patrinely3
  • 1Department of Ophthalmology, Baylor College of Medicine, Houston, TX
  • 2Department of Plastic Surgery, M.D. Anderson Cancer Center, Houston, TX
  • 3Departments of Ophthalmology and Plastic Surgery, Baylor College of Medicine, Houston, TX
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Publication History

Publication Date:
01 October 2002 (online)

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ABSTRACT

Numerous surgical approaches to the orbital floor exist. This article reviews the transconjunctival and transcutaneous options and details the relative contraindications of each.

KEYWORDS

Surgical approach - transconjunctival - transcutaneous - orbit

REFERENCES

  • 1 Courtney D J, Thomas S, Whitford P H. Isolated orbital blowout fractures: survey and review.  Br J Oral Maxillofac Surg . 2000;  38 496-504
    CrossrefPubMedSearch in Google Scholar
  • 2 Converse J M. A randomized comparison of four incisions for orbital fractures (discussion).  Plast Reconstr Surg . 1981;  67 736-737
    PubMedSearch in Google Scholar
  • 3 Wolfe S A. Treatment of post-traumatic orbital deformities.  Clin Plast Surg . 1988;  15 225-238
    PubMedSearch in Google Scholar
  • 4 Rankow R M, Mignogna F V. Surgical treatment of orbital floor fractures.  Arch Otolaryngol . 1975;  101 19-22
    PubMedSearch in Google Scholar
  • 5 Werther J R. Cutaneous approaches to the lower lid and orbit.  J Oral Maxillofac Surg . 1998;  56 60-65
    CrossrefPubMedSearch in Google Scholar
  • 6 Tessier P. The conjunctival approach to the orbital floor and maxilla in congenital malformation and trauma.  J Maxillofac Surg . 1973;  1 3-8
    CrossrefPubMedSearch in Google Scholar
  • 7 Bourquet J. Les hernies graisseuses de l'orbite: notre traitement chirurgical.  Bull Acad Med Paris . 1924;  92 1270-1272
    PubMedSearch in Google Scholar
  • 8 Tenzel R R, Miller G R. Orbital blow-out fracture repair, conjunctival approach.  Am J Ophthalmol . 1971;  71 1141-1142
    CrossrefPubMedSearch in Google Scholar
  • 9 Converse J M, Firmin F, Wood-Smith D, Friedland J A. The conjunctival approach in orbital fractures.  Plast Reconstr Surg . 1973;  52 656-657
    CrossrefPubMedSearch in Google Scholar
  • 10 Lynch D J, Lamp J C, Royster H P. The conjunctival approach for exploration of the orbital floor.  Plast Reconstr Surg . 1974;  54 153-156
    PubMedSearch in Google Scholar
  • 11 McCord Jr D C, Moses J L. Exposure of the inferior orbit with fornix incision and lateral canthotomy.  Ophthal Surg . 1979;  10 53-63
    PubMedSearch in Google Scholar
  • 12 Nunery W R. Lateral canthal approach to repair of trimalar fractures of the zygoma.  Ophthal Plast Reconstr Surg . 1985;  1 175-183
    PubMedSearch in Google Scholar
  • 13 Sherman L J, Meltzer M. Inferior fornix incision for orbital rim and floor fractures.  Laryngoscope . 1986;  96 1164-1167
    PubMedSearch in Google Scholar
  • 14 Shore J W. The fornix approach to the inferior orbit.  Adv Ophthal Plast Reconstr Surg . 1987;  6 377-385
    PubMedSearch in Google Scholar
  • 15 Ilankovan V. Transconjunctival approach to the infraorbital region: a cadavaric and clinical study.  Br J Oral Maxillofac Surg . 1991;  29 169-173
    CrossrefPubMedSearch in Google Scholar
  • 16 Waite P D, Carr D D. The transconjunctival approach for treating orbital trauma.  J Oral Maxillofac Surg . 1991;  49 499-503
    CrossrefPubMedSearch in Google Scholar
  • 17 Wray R C, Holtmann B, Ribaudo J M, Keiter J, Weeks P M. A comparison of conjunctival and subciliary incisions for orbital fractures.  Br J Plast Surg . 1977;  30 142-150
    CrossrefPubMedSearch in Google Scholar
  • 18 Holtmann B, Wray R C, Little A G. A randomized comparison of four incisions for orbital fractures.  Plast Reconstr Surg . 1981;  67 731-735
    CrossrefPubMedSearch in Google Scholar
  • 19 Popisil O A, Fernando T D. Review of the lower blepharoplasty incision as a surgical approach to zygomatic-orbital fractures.  Br J Oral Maxillofac Surg . 1984;  22 261-268
    CrossrefPubMedSearch in Google Scholar
  • 20 Appling W D, Patrinely J R, Salzer T A. Transconjunctival approach vs subciliary skin-muscle flap approach for orbital fracture repair.  Arch Otolaryngol Head Neck Surg . 1993;  119 1000-1007
    CrossrefPubMedSearch in Google Scholar
  • 21 Netcher D T, Patrinely J R, Peltier M, Polsen C, Thrornby J. Transconjunctival versus transcutaneous lower eyelid blepharoplasty: a prospective study.  Plast Reconstr Surg . 1995;  96 1053-1060
    PubMedSearch in Google Scholar
  • 22 Hawes M J, Dortzbach R K. The microscopic anatomy of the lower eyelid retractors.  Arch Ophthalmol . 1982;  100 1313-1318
    CrossrefPubMedSearch in Google Scholar
  • 23 Rees T D, Dupis C C. Baggy eyelids in young adults.  Plast Reconstr Surg . 1969;  43 381-387
    CrossrefPubMedSearch in Google Scholar
  • 24 Gioia V M, Linberg J V, McCormick S A. The anatomy of the lateral canthal tendon.  Arch Ophthalmol . 1987;  105 529-532
    PubMedSearch in Google Scholar
  • 25 Zingg M, Chowdhury K, Ladrach K, Vuillemin T, Sutter F, Raveh J. Treatment of 813 zygoma-lateral orbital complex fractures: new aspects.  Arch Otolaryngol Head Neck Surg . 1991;  117 611-620
    CrossrefPubMedSearch in Google Scholar
  • 26 Westfall C T, Shore J W, Nunery W R, Hawes M J, Yaremchuk M J. Operative complications of the transconjunctival inferior fornix approach.  Ophthalmology . 1991;  98 1525-1528
    CrossrefPubMedSearch in Google Scholar
  • 27 Heckler F R, Songcharoen S, Sultani F A. Subcilliary incision and skin-muscle eyelid flap for orbital fractures.  Ann Plast Surg . 1983;  10 309-313
    PubMedSearch in Google Scholar
  • 28 Lacy M F, Pospisil D A. Lower blepharoplasty post-orbicularis approach to the orbit: a prospective study.  Br J Oral Maxillofac Surg . 1987;  25 398-401
    CrossrefPubMedSearch in Google Scholar
  • 29 Patipa M. The evaluation and management of lower eyelid retraction following cosmetic surgery.  Plast Reconstr Surg . 2000;  106 438-453
    CrossrefPubMedSearch in Google Scholar