Management of orbital rim and floor fractures using different approaches: A comparative study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Selecting the best from various approaches used to expose the orbital skeleton to facilitate open reduction and internal fixation or other orbital procedures , depends on good accessibility , better aesthetics and fewer complications . This study compares the subciliary, lower eyelid, infra orbital, trans conjunctival approaches and evaluates various parameters like accessibility, peri orbital fat interference, wound dehiscence, scar visibility, scleral show, ectropion, entropion, paresthesia, hematoma, epiphora and restricted ocular movements.. The result shows even though trans conjunctival approach gives good esthetics, lower eyelid approach gives better esthetic, less intra operative and post operative complications. Subciliary approach provides less exposure and post operative problems like ectropion, scarring whereas infra orbital approach provides good exposure with poor esthetics.
Authors and Affiliations
Dr. Subramonian S MDS, Dr. Segin Chandran K R MDS
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