Precaruncular approach for the reconstruction of medial orbital wall fractures.

Abstract:

:To reconstruct medial orbital wall fractures with a clear, least dissection, an alternative method, precaruncular approach, has been performed. We reviewed 36 patients with medial blowout fractures treated with this technique. The incision was made between the caruncle and medial canthal skin at the mucocutaneous junction, and was continued along the conjunctival fornix superiorly and inferiorly. An extended conjunctival incision was carried for additional access to the orbit floor. The dissection continued medially and proceeded along the preseptal plane. The clinical results were assessed by postoperative computed tomographic scan and by reviewing postoperative complications. Postoperatively, computed tomographic scans demonstrated adequate reduction of soft tissues and correct positioning of the inserted implant without surgical complications. In most cases, the edema resolved within 24 to 48 hours after surgery. The precaruncular approach is a good option in reconstructing medial orbital wall fractures because it provides satisfactory exposure with superior cosmetic result.

journal_name

Ann Plast Surg

authors

You HJ,Kim DW,Dhong ES,Yoon ES

doi

10.1097/SAP.0b013e31826a1a75

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

652-6

issue

6

eissn

0148-7043

issn

1536-3708

journal_volume

72

pub_type

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