Preseptal Transconjunctival Approach for Orbital Floor Fracture Reconstruction: Surgical Anatomy, Technical Considerations, and Clinical Outcomes
DOI:
https://doi.org/10.48047/8fpqrr06Keywords:
Orbital floor fracture, Transconjunctival approach, Orbital fracture reconstructionAbstract
Background: Orbital floor fractures represent a common subset of midfacial trauma and frequently result from blunt force mechanisms such as interpersonal violence, sports injuries, and motor vehicle accidents. These fractures may lead to functional and aesthetic complications including diplopia, enophthalmos, infraorbital nerve hypoesthesia, and restriction of extraocular muscle movement. Surgical reconstruction is often required when significant orbital floor disruption leads to orbital volume changes or entrapment of orbital contents. Over the past several decades, multiple surgical approaches have been developed to access the orbital floor, including subciliary, subtarsal, and transconjunctival techniques. Among these, the preseptal transconjunctival approach has gained widespread acceptance due to its ability to provide excellent surgical exposure while minimizing visible scarring and reducing the risk of lower eyelid malposition.
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References
Burnstine MA. Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol.2003;14(5):236-240.
Manson PN, Iliff N, Nahai F, Yaremchuk M. Comprehensive management of orbital fractures. Plast Reconstr Surg. 1986;77(3):347-359
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