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01-04-2013 | Original Article

Transconjunctival versus subciliary approach for orbital fracture repair—an anthropometric evaluation of 221 cases

Authors: Gregor F. Raschke, Ulrich M. Rieger, Rolf-Dieter Bader, Oliver Schaefer, Arndt Guentsch, Stefan Schultze-Mosgau

Published in: Clinical Oral Investigations | Issue 3/2013

Abstract

Objectives

In the literature, there is an ongoing discussion about the influence of orbital fractures and the surgical approach on the rate of eyelid deformities of the lower eyelid.

Materials and methods

We present an evaluation of a series of 221 patients 9 months after zygomaticomaxillary complex fracture repair that underwent implant removal. Reference anthropometric data were measured on standardized pre- and postoperative photographs. Analysis included eye fissure width and height, lid sulcus and upper lid height, upper and lower iris coverage, position of cornea to palpebra inferior, canthal tilt, scleral show, ectropion, and entropion. Both operated and contralateral eyelids were evaluated as well as whether a transconjunctival or a subciliary approach was performed.

Results

Time, surgery, and surgical approach presented significant effects on eye fissure index and lower iris coverage. Scleral show was significantly influenced by the surgical procedure itself as well as by the type of incision. The rate of ectropion increased significantly pre- to postoperative.

Conclusions

The subciliary approach included the highest risk of lower lid retraction. The low pre- to postoperative increase of scleral show and ectropion compared to recent studies gives us an idea about the influence of the underlying trauma on the rate of lower lid retraction. The standardized measurements described are accurately and objective to evaluate postoperative results.

Clinical relevance

The transconjunctival approach is preferable in orbital fracture repair.

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Title: Transconjunctival versus subciliary approach for orbital fracture repair—an anthropometric evaluation of 221 cases
Authors: Gregor F. Raschke
Ulrich M. Rieger
Rolf-Dieter Bader
Oliver Schaefer
Arndt Guentsch
Stefan Schultze-Mosgau
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 3/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0776-3

At a glance: The STEP trials

Springer Medicine

Transconjunctival versus subciliary approach for orbital fracture repair—an anthropometric evaluation of 221 cases

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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