Subciliary vs. transconjunctival approach for the management of orbital floor and periorbital fractures: A systematic review and meta-analysis

Al‐Moraissi, Essam Ahmed; Thaller, Seth R.; Ellis, Edward

doi:10.1016/j.jcms.2017.07.004

Cited by 44 publications

(23 citation statements)

References 22 publications

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“…This rate was much lower than the preexisting literature. [4,9,10] In our opinion, meticulous repair of the orbital septum following insertion of the PPEI to the orbital floor is the main reason for our low rate of scleral show or other lower lid complications.…”

Section: Discussionmentioning

confidence: 93%

“…In many studies, subciliary incision-related complications such as scarring, scleral show, ectropion and palpebral asymmetry have been reported. [4,11] Endoscopic-assisted transnasal/transmaxillary approaches have been described to avoid lower lid incision-related complications. Except for two cases, we performed subciliary incision for all other patients, and only two had a scleral show.…”

Section: Discussionmentioning

confidence: 99%

“…Various approaches, including transcutaneous, transconjunctival and endoscopic transnasal/transmaxillary, have been defined to reach the orbital floor. [4][5][6][7] Each approach has its advantages and potential limitations. Furthermore, besides the use of autologous grafts, various allogenic materials have been described for orbital floor reconstruction, such as titanium mesh, silicon, teflon, PPEI, etc.…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction of orbital floor fractures using a porous polyethylene implant: outcomes in the early, intermediate and late postoperative periods

Özkaya

Erçöçen

2020

ENT Updates

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Objective: The porous polyethylene implant (PPEI) is one of the most commonly used alloplastic materials in cranio-maxillofacial surgery. It is widely preferred because of its biocompatible, durable, flexible and thin nature as well as for its low complication rates. The purpose of the present study was to review the clinical and surgical outcomes of PPEI usage for orbital floor fractures. Methods: The present study included 76 patients who underwent orbital floor fracture reconstruction using PPEI between July 2000 and July 2018. All demographic characteristics of the patients were recorded and the patients were questioned and/or examined whether there was any complaint or complication secondary to the surgery. Results: The mean age of the patients was 35.2 years with a male predominance. The most common causes of injury were in-vehicle traffic accidents, falls, physical assaults and pedestrian accidents, respectively. 73 patients had other concomitant fractures of the facial bones along with the orbital floor fracture. The mean time between the injury and the surgical repair was eight days. Scleral show was observed in two patients (2.6%) due to scar contracture of the subciliary incision whereas one patient had surgical removal of the PPEI. Conclusion: The present study revealed that PPEI is a reliable and flexible material for the reconstruction of orbital floor fractures with a low risk of complications. To prevent or minimize postoperative complications, the orbital septum must be repaired meticulously.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reconstruction of orbital floor fractures using a porous polyethylene implant: outcomes in the early, intermediate and late postoperative periods

Özkaya

Erçöçen

2020

ENT Updates

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“…The choice between transcutaneous and transconjunctival approaches is controversial [ 17 , 18 ] In the present case report, the surgeons chose a transcutaneous approach to avoid adding any unnecessary risks to the globe and to easily manage any unexpected deviation of the normal orbital anatomy caused by the presence of the foreign body [ 17 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Undiagnosed impacted knife blade from a penetrative orbital injury: A case report

Sayed

Saad

Fereir³

2018

International Journal of Surgery Case Reports

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HighlightsThe mode of entry of the foreign body was unique as well as the force required to impale and break a knife blade in bone.The authors present a minimally invasive technique for dealing with this type of injury and highlight its challenges.This case report emphasis the need for baseline radiology in cases of traumatology especially those with vague history.The patient was examined by multiple physicians who did not detect the foreign body which could raise medico-legal issues.

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“…La complicación más común asociada al uso de estos abordajes corresponde a la malposición palpebral inferior, pudiendo observarse como ectropión o eversión palpebral, entropión o inversión palpebral, exposición escleral, entre otras (2,4,5) .…”

Section: Problemaunclassified

Abordaje transconjuntival en comparación con abordaje subciliar para el tratamiento de fracturas orbitarias

Vargas-Buratovic

Uribe-Monasterio

Ortuño

et al. 2020

Int. j interdiscip. dent.

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Introducción: Los abordajes transconjuntival preseptal y subciliar han sido ampliamente utilizados para el manejo quirúrgico de las fracturas orbitarias. Sin embargo, aún existe incertidumbre sobre las complicaciones asociadas a cada uno de estos abordajes. Métodos: Realizamos una búsqueda en Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante el cribado de múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, analizamos los datos de los estudios primarios. Realizamos un metanálisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. Resultados y conclusiones: Identificamos seis revisiones sistemáticas que en conjunto incluyeron 21 estudios primarios, de los cuales cuatro corresponden a ensayos aleatorizados. Concluimos que el abordaje transconjuntival preseptal podría disminuir tanto la incidencia de ectropión como de un resultado estético insatisfactorio, pero la certeza de la evidencia es baja. Además, este abordaje probablemente disminuye el riesgo de complicaciones intra y postoperatorias, tales como diplopía, parestesia transitoria, equimosis, exposición escleral, laceración del plato tarsal y laceración palpebral inferior. Por otro lado, el abordaje transconjuntival podría aumentar el riesgo de entropión, pero la certeza de la evidencia también es baja.

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Subciliary vs. transconjunctival approach for the management of orbital floor and periorbital fractures: A systematic review and meta-analysis

Cited by 44 publications

References 22 publications

Reconstruction of orbital floor fractures using a porous polyethylene implant: outcomes in the early, intermediate and late postoperative periods

Reconstruction of orbital floor fractures using a porous polyethylene implant: outcomes in the early, intermediate and late postoperative periods

Undiagnosed impacted knife blade from a penetrative orbital injury: A case report

Abordaje transconjuntival en comparación con abordaje subciliar para el tratamiento de fracturas orbitarias

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