Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1993; 4(1):109-114

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1993.4.1.109

원저

Conjunctival Approach를 사용한 안와저 분쇄골절의 수술적 치료

장철호¹, 조정환¹, 윤상원¹

Conjunctival Approach for the Repair of Orbital Blowout Fractures

Chul Ho Jang¹, Jung Hwan Cho¹, Sang Won Yoon¹

¹원광대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, College of Medicine, Wonkwang University

© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

There are four approaches described for the repair of orbital blowout fractures—transantral, skin-orbicularis oculi muscle flap through a subciliary incision, horizontal lower lid incision over the infraorbital rim, and conjunctival approach.

Conjunctival approach to the orbital floor and infraorbital rim has been a safe and reliable technique. In addition to improved cosmesis, the conjunctival approach has essentially eliminated the complications of ectropion and scleral show, which frequently occur following the precutaneous, subciliary approach.

Recently 2 years, the preseptal conjunctival approach has been used in 11 patients.

No loss of vision, persistent diplopia secondary to surgery, corneal abrasions, ectropion, or other complications occurred in our cases.

Keywords: Blowout Fracture; Conjunctival Approach