Subciliary versus swinging eyelid approach to the orbital floor

Riu, Giacomo De; Meloni, Silvio Mario; Gobbi, Roberta; Soma, Damiano; Baj, A.; Tullio, Antonio

doi:10.1016/j.jcms.2008.07.005

Cited by 77 publications

(43 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This reflects the limited access of transconjunctival approach for inferior orbital rim and orbital floor fracture as part of ZMC fracture so surgeons utilized this approach must have experience in lateral canthal ligament repair. Proper exposure of the surgical field could be obtained by lateral canthotomy to overcome the limited surgical field around the orbital floor due to the short incision and narrow lower conjunctival fornix [16,17] and to avoid lid laceration that may occur with excess retraction [16][17][18]. However, considerable variation of the lower eyelid laxity depending on age and race should direct surgeon to deal with each case on an individual basis and pattern of the fracture.…”

Section: Discussionmentioning

confidence: 99%

Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study

El‐Anwar

Elsheikh

Hussein

et al. 2017

Oral Maxillofac Surg

View full text Add to dashboard Cite

Transconjunctival approach mostly needs lateral canthotomy that was not needed with subciliary approach. Transient postoperative edema is more in transconjunctival approach while postoperative ectropion and sclera show was detected only with subciliary approach. So, building up of experience in transconjunctival approach will be beneficial for maxillofacial surgeons and more measures to avoid ectropion are needed with subciliary approach.

show abstract

Section: Discussionmentioning

confidence: 99%

Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study

El‐Anwar

Elsheikh

Hussein

et al. 2017

Oral Maxillofac Surg

View full text Add to dashboard Cite

show abstract

“…The risk of developing postoperative eyelid retraction also varies with the type of approach used to expose the inferior orbital rim and floor. [10,15] Few authors [2,3,10,15] have compared subciliary approach with transconjunctival approach but no study has tried the comparison with 'sutureless' transconjunctival technique on the basis of so many pre-defined parameters with a follow-up of 3 months. We observed that main drawbacks of the subciliary approach include the post-operative scarring and the risk for potential complications.…”

Section: Discussionmentioning

confidence: 99%

“…It encloses the ocular globe and periorbital tissues, due to which injuries in this region have profound functional as well as aesthetic implications. The choice of approach is guided by the following goals: good intra-operative visibility, minimal post-operative scar formation and good esthetic results [2].…”

Section: Introductionmentioning

confidence: 99%

Comparison of ‘sutureless’ Transconjunctival and Subciliary Approach for Treatment of Infraorbital Rim Fractures: a Clinical Study

Vaibhav

Keerthi

Nanjappa

et al. 2015

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Purpose The aim of the study is to compare subciliary incision and 'sutureless' transconjunctival incision in the treatment of infraorbital rim fractures. Materials and method In this prospective study, 40 patients with fractures of the infraorbital rim were selected and divided into 2 groups using random sampling technique. Group A patients were treated using 'sutureless' transconjunctival technique and group B patients were treated using subciliary approach. The following parameters were compared a) time taken, intraoperative ease of access, exposure achieved; b) clinical outcome and postoperative complications; c) Aesthetic outcome at intervals of 15 days, 1 month and 3 months. Results Total time taken for completion of surgery was lesser in group A patients. The presence of subconjunctival ecchymosis (at 1 month interval) and neurological deficit was found to be statistically significant (P\0.05) in the 'subciliary' group of patients. The transconjunctival approach showed better esthetic results and fewer postoperative complications. Conclusion The subciliary approach gives good exposure of the infra-orbital rim and is better suited to reduce extensively displaced fractures of the infra-orbital rim. The transconjunctival approach is comparatively faster, gives better esthetic results and fewer post-operative complications but is technique sensitive and requires an additional lateral canthotomy in cases where more exposure is needed.

show abstract

“…[24] Each incision location has associated risks and benefits. Using a transconjunctival incision, De Riu et al [25] observed canthal malposition in 3 of their 24 patients (12.5%), and Novelli et al, [26] in their group of 56 patients, reported trichiasis in 2 patients (3.5%) and partial entropion in 2 patients (3.5%). Schmäl et al [27] noticed cheloid formation at the lateral canthotomy site, necessitating surgical repair in 2 of 209 patients (1%), and Mullins et al [28] reported conjunctival granuloma in 8 of 400 patients (2%).…”

Section: Discussionmentioning

confidence: 95%

“…Schmäl et al [27] noticed cheloid formation at the lateral canthotomy site, necessitating surgical repair in 2 of 209 patients (1%), and Mullins et al [28] reported conjunctival granuloma in 8 of 400 patients (2%). Using a subciliary incision, De Riu et al [25] observed lagophthalmus in 5 of 23 (21.7%) and cutaneous scarring in 10 of 23 (43%) patients. In our study, the transcutaneous subciliary approach was the routinely used incision method during open reduction procedures of the orbital floor and lateral wall fractures.…”

Section: Discussionmentioning

confidence: 99%