Transconjunctival Approach For The Treatment Of Orbital Trauma

Jeong, Jong Cheol; Kim, Seong Beom; Seo, Ji Hoon; Song, Min Seok; Jun, Chang Hun; Choi, Se Hoon; Kim, Hyeon Min

Abstract

Various surgical approaches to the orbits have been used. But the transconjunctival approach, also called the inferior fornix incision,provides adequate access to the orbital floor with esthetic results. Additionally, transconjunctival approach with lateral canthotomy allows more wide surgical field and good access to the orbital area. Generally,preseptal approach is more used rather than postseptal approach in the transconjunctival incision for the prevention of fat herniation during surgery. There are some complications in transconjunctival approaches but these complications can be prevented with careful surgical techniques. We report clinical results in 12 patients who were treated by preseptal transconjunctival incision with lateral canthotomoy for the treatment of orbital trauma. We were satisfied with this technique for reduction and reconstruction of the orbital trauma and we could also observe relatively good esthetic results.