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Facial Plast Surg 2014; 30(05): 537-544
DOI: 10.1055/s-0034-1394100
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Approaches to the Orbit in Primary and Secondary Reconstruction

Edward Ellis III
1   Department of Oral and Maxillofacial Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, Texas
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Publication History

Publication Date:
14 November 2014 (online)

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Abstract

The key to orbital surgery is exposure of the bony orbit. This article presents, in a stepwise fashion, the subtarsal and transconjunctival approaches to the orbital floor and medial wall.

Keywords

surgical approach - subtarsal - subciliary - transconjunctival - orbit
 

  • References

  • 1 Holtmann B, Wray RC, Little AG. A randomized comparison of four incisions for orbital fractures. Plast Reconstr Surg 1981; 67 (6) 731-737
    CrossrefPubMedSearch in Google Scholar
  • 2 Rohrich RJ, Janis JE, Adams Jr WP. Subciliary versus subtarsal approaches to orbitozygomatic fractures. Plast Reconstr Surg 2003; 111 (5) 1708-1714
    CrossrefPubMedSearch in Google Scholar
  • 3 Ridgway EB, Chen C, Lee BT. Acquired entropion associated with the transconjunctival incision for facial fracture management. J Craniofac Surg 2009; 20 (5) 1412-1415
    CrossrefPubMedSearch in Google Scholar
  • 4 Ridgway EB, Chen C, Colakoglu S, Gautam S, Lee BT. The incidence of lower eyelid malposition after facial fracture repair: a retrospective study and meta-analysis comparing subtarsal, subciliary, and transconjunctival incisions. Plast Reconstr Surg 2009; 124 (5) 1578-1586
    CrossrefPubMedSearch in Google Scholar
  • 5 Luhr HG. Primary reconstruction of orbital defects following injury and neoplasm surgery [in German]. Dtsch Zahn Mund Kieferheilkd Zentralbl Gesamte 1971; 57 (1) 1-7
    PubMedSearch in Google Scholar
  • 6 Habal MB, Chaset RB. Infraciliary transconjunctival approach to the orbital floor for correction of traumatic lesions. Surg Gynecol Obstet 1974; 139 (3) 420-422
    PubMedSearch in Google Scholar
  • 7 Wray RC, Holtmann B, Ribaudo JM, Keiter J, Weeks PM. A comparison of conjunctival and subciliary incisions for orbital fractures. Br J Plast Surg 1977; 30 (2) 142-145
    CrossrefPubMedSearch in Google Scholar
  • 8 Becker R, Austermann KH. Choice of approaches in the surgical management of orbital fractures [in German]. Fortschr Kiefer Gesichtschir 1977; 22: 33-36
    PubMedSearch in Google Scholar
  • 9 Wangerin K, Busch HP, Conrad HG. Complication incidence of zygomatic bone fractures using different operation methods. In Hjørting-Hansen E, , ed. Oral and Maxillofacial Surgery: Proceedings from the 8th International Conference on Oral and Maxillofacial Surgery. Chicago, IL: Quintessence; 1985: 201-209
    Search in Google Scholar
  • 10 Baumann A, Ewers R. Transcaruncular approach for reconstruction of medial orbital wall fracture. Int J Oral Maxillofac Surg 2000; 29 (4) 264-267
    CrossrefPubMedSearch in Google Scholar