Versatile use of extended transconjunctival approach for orbital reconstruction

Deok-Woo Kim, Sang Rok Choi, Seung Ha Park, Sang Hwan Koo

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

When exposing the orbit, the transconjunctival approach is regarded to have limited surgical exposure. The aim of this study is to demonstrate the versatile usability of extended transconjunctival approach, which can be extended medially and laterally, in reconstruction of medial orbital wall, floor, and even the lateral rim in maxillo-malar complex fracture.We reviewed 122 cases of orbital fractures treated with extended transconjunctival approach. The operative results were assessed by postoperative CT scan and reviewing postoperative complications. The extended transconjunctival approach provided sufficient surgical exposures in all cases. There was no ectropion or scleral show during follow-up period. The cutaneous scars were almost invisible in most cases.The extensile character of this approach makes continuous exposure of the orbit from frontozygomatic suture laterally to the frontonasal suture medially, while minimizing scar and eyelid complications.

Original languageEnglish
Pages (from-to)374-380
Number of pages7
JournalAnnals of Plastic Surgery
Volume62
Issue number4
DOIs
Publication statusPublished - 2009 Apr 1

Fingerprint

Orbit
Sutures
Cicatrix
Ectropion
Orbital Fractures
Eyelids
Skin

Keywords

  • Blowout fracture
  • Calvarial bone graft
  • Canthotomy
  • Orbital fracture
  • Transcaruncular approach
  • Transconjunctival approach
  • Zygoma fracture

ASJC Scopus subject areas

  • Surgery

Cite this

Versatile use of extended transconjunctival approach for orbital reconstruction. / Kim, Deok-Woo; Choi, Sang Rok; Park, Seung Ha; Koo, Sang Hwan.

In: Annals of Plastic Surgery, Vol. 62, No. 4, 01.04.2009, p. 374-380.

Research output: Contribution to journalArticle

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