scholarly journals The Conjunctival Turnover: A Simple and Effective Method for Sclero-Corneal Protection in Pre-Septal Transconjunctival Approach to the Orbital Floor

Cureus ◽  
2021 ◽  
Author(s):  
Anantanarayanan Parameswaran ◽  
Elavenil Panneerselvam ◽  
Naveenkumar Jayakumar
Keyword(s):  
Orbital Floor ◽  
Transconjunctival Approach

Preseptal transconjunctival approach for orbital floor fracture repair: ophthalmologic results in 209 patients

2006 ◽  
Vol 126 (4) ◽  
pp. 381-389 ◽  
Author(s):  
Frank Schmäl ◽  
Türker Basel ◽  
Ulrike H. Grenzebach ◽  
Oliver Thiede ◽  
Wolfgang Stoll
Keyword(s):  
Fracture Repair ◽  
Orbital Floor ◽  
Transconjunctival Approach ◽  
Orbital Floor Fracture

scholarly journals Blowout Fracture in a 3-Year-Old

2013 ◽  
Vol 6 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Britt I. Pluijmers ◽  
Maarten J. Koudstaal ◽  
Dion Paridaens ◽  
Karel G.H. van der Wal
Keyword(s):  
Young Children ◽  
Surgical Planning ◽  
Clinical Symptoms ◽  
Orbital Floor ◽  
Conservative Approach ◽  
Transconjunctival Approach ◽  
Blowout Fracture ◽  
Fractures In Children ◽  
Orbital Floor Fractures ◽  
Orbital Floor Reconstruction

A 3-year-old patient was referred to the oral and maxillofacial department with a fracture of the orbital floor. Due to the lack of clinical symptoms, a conservative approach was chosen. After 3 weeks, an enophthalmos developed. The orbital floor reconstruction was successfully performed through a transconjunctival approach. This case highlights the rarity of pure blowout fractures in young children. The specific presentation and diagnostics of orbital floor fractures in children and the related surgical planning and intervention are discussed.

Transconjunctival Approach Using Lateral Skin Extension for Reconstruction of Orbit Zygomatic Complex Fractures: Technique Description and a Case Series Analysis

2020 ◽  
pp. 194338752097008
Author(s):  
Salvador Valladares Pérez ◽  
Diego Bustamante Correa ◽  
Carlos Cortez Fuentes ◽  
Felipe Astorga Mori ◽  
Gerson Sepúlveda Troncoso ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Case Series ◽  
Lateral Wall ◽  
Orbital Floor ◽  
Oral And Maxillofacial Surgery ◽  
Transconjunctival Approach ◽  
Unique Approach ◽  
Orbital Rim ◽  
Infraorbital Rim

Study Design: A descriptive-observational study of a series case report of patients diagnosed with orbito-zygomatic complex (OZMC) fracture with lateral wall involvement, was conducted. All patients were assessed in the Oral and Maxillofacial Surgery Service at Hospital El Carmen, Maipu, Santiago, Chile. Objective: The purpose of this study was to evaluate a single-institution experience with the transconjunctival approach to the orbit, utilizing a lateral skin extension as unique approach to access to fronto-zygomatic suture, infraorbital rim and/or orbital floor. Method: The authors identified 41 patients with OZMC fractures who underwent to surgical treatment over a 45 months period. Among this group, 21 patients needed fixation with osteosynthesis of the frontozygomatic suture, and 16 of whom were treated with the approach being studied. The authors assessed scleral exposure, eyelid position changes, ectropion, and entropion as outcome measures, and reported satisfactory outcomes at a minimum of 9 months follow-up. Conclusions: This study concludes that in our experience, the transconjunctival approach utilizing a lateral skin extension allows a direct, easy, and quick access to the entire infra orbital rim, orbital floor, fronto-zygomatic suture and lateral wall of the orbit, up to spheno-zygomatic suture, with low associated morbidity and complications.

scholarly journals Aesthetic Outcome of a Case of Orbital Floor Fracture Treated Using a Retroseptal Transconjunctival Approach

Cureus ◽  
2019 ◽  
Author(s):  
Kalarikkal Mukundan Harish ◽  
Guruprasad Tulasidas ◽  
Babu Arthanari ◽  
James Antony Bhagat
Keyword(s):  
Orbital Floor ◽  
Aesthetic Outcome ◽  
Transconjunctival Approach ◽  
Orbital Floor Fracture

scholarly journals Survey of Common Practices among Oculofacial Surgeons in the Asia-Pacific Region: Management of Orbital Floor Blowout Fractures

2014 ◽  
Vol 7 (3) ◽  
pp. 197-202 ◽  
Author(s):  
Victor Koh ◽  
Nathalie Chiam ◽  
Gangadhara Sundar
Keyword(s):  
Surgical Intervention ◽  
Asia Pacific ◽  
Orbital Floor ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Transconjunctival Approach ◽  
Total Response Rate ◽  
Orbital Floor Fractures ◽  
Common Practices ◽  
Year 2000

A web-based anonymous survey was performed to assess common practices of oculofacial surgeons in the management of traumatic orbital floor blowout fractures. A questionnaire which contained questions on several controversial topics in the management of orbital floor fractures was sent out via e-mail to 131 oculofacial surgeons in 14 countries in the Asia-Pacific region. A total response rate of 58.3% was achieved from May to December 2012. The preferred time for surgical intervention was within 2 weeks for adult patients, porous polyethylene implant was the most popular choice, and most surgeons preferred the transconjunctival approach. Postoperatively, diplopia was the most commonly encountered complication and most oculofacial surgeons reviewed their patients regularly for up to 12 months. We report the results of the first survey of oculofacial surgeons within the Asia-Pacific region on the management of orbital floor blowout fractures. Compared with previous surveys (from year 2000 to 2004), the duration to surgical intervention was comparable but there was a contrasting change in preferred surgical approach and choice of orbital implant.

scholarly journals Modified Transconjunctival Approach to the Lower Eyelid: Technical Details for Predictable Results

2016 ◽  
Vol 9 (1) ◽  
pp. 029-034
Author(s):  
Steven Bonawitz ◽  
William Crawley ◽  
Jaimie T. Shores ◽  
Paul N. Manson
Keyword(s):  
Surgical Technique ◽  
Lower Eyelid ◽  
Orbital Floor ◽  
Reliable Technique ◽  
Transconjunctival Approach ◽  
Technical Details ◽  
Surgical Aspects ◽  
Complete Access ◽  
Orbital Rim

The transconjunctival approach to the lower orbit is well described in the literature and has been used for both cosmetic and reconstructive purposes. When properly performed, it allows access to the orbital floor and inferior orbital rim with minimal lower lid morbidity and an inconspicuous scar. Many variations of this approach have been described and these can lead to confusion and uncertainty regarding the surgical technique including when and how to best utilize this approach in the traumatized eyelid. Residents and less experienced attendings employing this approach often fail to fully understand the technical and anatomic details that can make this a very fast and simple way to gain complete access to the inferior, medial, and lateral orbit while minimizing complications such as postoperative lid malposition and canthal deformities. We describe our method for transconjunctival access to the inferior orbital rim and orbital floor with specific attention to several precise surgical aspects that make this a fast and reliable technique with low morbidity and predictable architecture of closure.

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