Transconjunctival Preseptal Approach for Orbital Floor and Infraorbital Rim Fracture

Abstract

To evaluate the transconjunctival preseptal approach for time required for exposure, adequacy of exposure, intraoperative and postoperative complications. Materials for this study involved 15 cases of maxillofacial injuries with orbital floor and infraorbital rim fracture. The average exposure time taken for placement of incision till the exposure of the fracture was 21min. Exposure obtained for fracture site was adequate in all cases, for the reduction of orbital floor and internal fixation of infraorbital rim. No cases had intraoperative and postoperative complications. In all cases postoperative esthetic outcome was satisfactory. The transconjunctival preseptal approach is most effective surgical access to infraorbital rim and orbital floor and even to medial orbital wall. This approach is surgically similar in providing exposure and access, but aesthetically superior to other approaches and has minimal complications. There are no disadvantages to transconjunctival preseptal approach, if performed meticulously with sound knowledge of anatomy of periorbital tissues.