Precaruncular approach for the reconstruction of medial orbital wall fractures

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)652-656
Number of pages5
JournalAnnals of Plastic Surgery
Volume72
Issue numberSUPPL. 2
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Orbital Fractures
Dissection
Orbit
Cosmetics
Edema
Skin

Keywords

  • Blowout fractures
  • Medial orbital wall
  • Precaruncular approach

ASJC Scopus subject areas

  • Surgery

Cite this

Precaruncular approach for the reconstruction of medial orbital wall fractures. / You, Hijin; Kim, Deok-Woo; Dhong, Eun-Sang; Yoon, Eul Sik.

In: Annals of Plastic Surgery, Vol. 72, No. SUPPL. 2, 01.01.2014, p. 652-656.

Research output: Contribution to journalArticle

@article{53013d5f204a460ea16ac6bf058ca440,
title = "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.",
keywords = "Blowout fractures, Medial orbital wall, Precaruncular approach",
author = "Hijin You and Deok-Woo Kim and Eun-Sang Dhong and Yoon, {Eul Sik}",
year = "2014",
month = "1",
day = "1",
doi = "10.1097/SAP.0b013e31826a1a75",
language = "English",
volume = "72",
pages = "652--656",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Precaruncular approach for the reconstruction of medial orbital wall fractures

AU - You, Hijin

AU - Kim, Deok-Woo

AU - Dhong, Eun-Sang

AU - Yoon, Eul Sik

PY - 2014/1/1

Y1 - 2014/1/1

N2 - 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.

AB - 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.

KW - Blowout fractures

KW - Medial orbital wall

KW - Precaruncular approach

UR - http://www.scopus.com/inward/record.url?scp=84901494714&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901494714&partnerID=8YFLogxK

U2 - 10.1097/SAP.0b013e31826a1a75

DO - 10.1097/SAP.0b013e31826a1a75

M3 - Article

C2 - 23241800

AN - SCOPUS:84901494714

VL - 72

SP - 652

EP - 656

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - SUPPL. 2

ER -