Arch Craniofac Surg.  2013 Apr;14(1):30-35. 10.7181/acfs.2013.14.1.30.

Modified Direct W-incision with Silicone Sheet to Minimize Operation Scar in Reconstruction of Mild to Moderate Symptomatic Medial Orbital Wall Fracture

• Jung JA
• Gong JS
• Kim YW
• Kang SR

• KMID: 2167756
• DOI: http://doi.org/10.7181/acfs.2013.14.1.30

Abstract

BACKGROUND
For reconstruction of the mild to moderate medial orbital wall fractures, various surgical approaches have been used. Prior existing W-shaped incision was a direct local approach through a 3 cm incision on the superior medial orbital area with a titanium mesh implant. In this study, the authors modified W-shaped incision and reconstructed the defect with silastic sheet to improve the result and the postoperative scar.
METHODS
This study included 20 patients who had mild to moderate size of medial wall defect and therefore relatively suitable for reconstruction with silastic sheets from July, 2009 to December, 2011. A modified W-shaped skin incision approximately 1.2 to 1.5 cm in length was made along the superior medial orbital rim from approximately 1 cm medial to the medial canthus to the lower border of the medial eyebrow. The angles of the limbs of the W ranged from 150 to 160 degrees.
RESULTS
By using soft flexible silastic sheet, the authors reduced the incision from 3 to 1.5 cm, and by widening the angle of the W limbs, scars were more effectively hided in the relaxed skin tension line. Scar assessment was done with modified patient and observer scar assessment scale and mean score from patients was 2.08 and mean score from observers was 2.12.
CONCLUSION
Although this method will not be suitable for every case, it can be a consistent method to obtain the surgical goal in treatment of mild to moderate blowout fractures of the medial orbital wall.

Keyword

Orbital fractures; Blow-out fracture

MeSH Terms

Cicatrix
Dimethylpolysiloxanes
Extremities
Eyebrows
Humans
Orbit
Orbital Fractures
Silicones
Skin
Titanium
Dimethylpolysiloxanes
Silicones
Titanium