Treatment of Zygomatic-Orbital Complex Fracture Through Transconjunctival Approach
Main Article Content
Abstract
Fractures of the zygomatic-orbital complex have been described as common in the midface traumas. The surgical approach election is an important decision when there is a risk of interference to function, aesthetics or an association of both. The pursuit of techniques that offer adequate visualization of the interested area associated with low morbidity has been responsible for the development of new techniques and materials. The better approach still remains with a lot of controversy among different authors. However, the transconjunctival incision can be considered in access fractures of the zygomatic-orbital complex. The purpose of this study is report a case of performing transconjunctival approach associated with lateral canthotomy to treatment of zygomatic-orbital complex fractures caused by sports trauma of a 34 years-old male patient.
References
Baumann, A. & Ewers, R. Use of the preseptal transconjunctival approach in orbit reconstruction surgery. J. Oral Maxillofac. Surg., 59(3):287-91, 2001.
Bourget, J. Les hernies graisseuses de l’orbite: Notre traitement chirurgical. Bull. Acad. Med. Paris, 92:1270-2, 1924.
De Riu, G.; Meloni, S. M.; Gobbi, R.; Soma, D.; Baj, A. & Tullio, A. Subciliary versus swinging eyelid approach to the orbital floor. J. Craniomaxillofac. Surg., 36(8):439-42, 2008.
Ellis, E. 3rd. Orbital trauma. Oral Maxillofac. Surg. Clin. North Am., 24(4):629-48, 2012.
Ellis, E. 3rd.; el-Attar, A. & Moos, K. F. An analysis of 2,067 cases of zygomatico-orbital fracture. J. Oral Maxillofac. Surg., 43(6):417–28, 1985.
Fedok, F. G. The transconjunctival approach in the trauma setting: avoidance of complications. Am. J. Otolaryngol., 17(1):16-21, 1996.
Gots fried, H. F. Combination of miniplate osteosynthesis and transconjunctival approach for reduction of zygomaticfractures. In: Oral and Maxillofacial Surgery. Proceedings from the 8th International conference on oral and maxillofacial surgery. Chicago, Quintessence, 1985. pp.229- 39.
Hammer, B. Orbital Fractures: Diagnosis, Operative Treatment, Secondary Corrections. Toronto, Hogrefe & Huber Publishers, 1995.
Ilankovan, V. Transconjunctival approach to the infraorbital region: a cadaveric and clinical study. Br. J. Oral Maxillofac. Surg., 29(3):169-73, 1991.
Jackson, I. T.; Schiele, U. U. & Adham, M. The conjunctival approach to the orbital floor and maxilla--advantages and disadvantages. Ann. Plast. Surg., 19(1):46-8, 1987.
Jocono, A. A. & Moskowitz, B. Transconjunctival versus transcutaneous approach in upper and lower blepharoplasty. Facial Plast. Surg., 17(1):21-8,2001.
Kontio, R. & Lindqvist, C. Management of orbital fractures. Oral Maxillofac. Surg. Clin. North Am., 21(2):209-20, 2009.
Kushner, G. M. Surgical approaches to the infraorbital rim and orbital floor: the case for the transconjunctival approach. J. Oral Maxillofac. Surg., 64(1):108-10, 2006.
Lynch, D. J.; Lamp, J. C. & Royster, H. R. The conjunctival approach for exploration of the orbital floor. Plast. Reconstr. Surg., 54(2):153-6, 1974.
Magnus, W. W.; Castner, D. V.; Schonder, A. A. & Salz, J. J. A conjunctival approach to repair of fracture of medial wall of orbit: report of case. J. Oral Surg., 29(9):664-7, 1971.
Manganelo-Souza, L. C. & Rodrigues de Freitas, R. Transconjunctival approach to zygomatic and orbital floor fractures. Int. J. Oral Maxillofac. Surg., 26(1):31-4, 1997.
Manson, P. N.; Ruas, E.; Iliff, N. & Yaremchuk, M. Single eyelid incision for exposure of the zygomatic bone and orbital reconstruction. Plast. Reconstr. Surg., 79(1):120-6, 1987.
Moe, K. S.; Bergeron, C. M. & Ellenbogen, R. G. Transorbital neuroendoscopic surgery. Neurosurgery, 67(3 Suppl. Operative):ons16-28, 2010.
Novelli, G.; Ferrari, L.; Sozzi, D.; Mazzoleni, F. & Bozzetti, A. Transconjunctival approach in orbital traumatology: a review of 56 cases. J. Craniomaxillofac. Surg., 39(4):266-70, 2011.
Patel, P. C.; Sobota, B. T.; Patel, N. M.; Greene, J. S. & Millman, B. Comparison of transconjunctival versus subciliary approaches for orbital fractures: a review of 60 cases. J. Craniomaxillofac. Trauma,4(1):17-21, 1998.
Sebastiani, A. M.; Trento, G. S.; Antonini, F.; Kluppel, L. E.; Scariot, R.; da Costa, D. J. & Rebellato, N.L. B. Cicatricial ectropion correction in inferior eyelid with cartilaginous tissue graft: Case report. Int. J. Med. Surg. Sci., 1(3):217-22, 2014.
Shemen, L. J. & Meltzer, M. “How i do it” — head and neck and plastic surgery: A targeted problem and its solution: Inferior fornix incision for orbital rim and floor fractures. Laryngoscope, 96(10):1164-7, 1986.
Tenzel, R. R. & Miller, G. R. Orbital blow-out fracture repair, conjunctival approach. Am. J. Ophthalmol.,71(5):1141-2, 1971.
Waite, P. D. & Carr, D. D. The transconjunctival approach for treating orbital trauma. J. Oral Maxillofac. Surg., 49(5):499-503, 1991.