Document Type

Article

Publication Date

3-16-2020

Publication Title

Craniomaxillofacial Trauma & Reconstruction

Volume

13

Issue

1

Pages

1-4

Publisher Name

MDPI

Publisher Location

Basel, Switzerland

Abstract

Background: There are multiple approaches to repairing orbital floor fractures. This study compares the postoperative complications of the subciliary and transconjunctival approaches.

Methods: The electronic medical records from 2 hospitals were screened for CPT codes associated with orbital floor reconstruction. A total of 184 patients were identified and included in the study. Patient characteristics and complications were compared by surgical approach.

Results: Of the 184 patients, 82 (44.6%) were in the subciliary group and 102 (55.4%) were in the transconjunctival group. The overall postoperative complication rate was 25.5%. The most common of these were diplopia (11.4%), corneal injury (7.1%), proptosis (5.4%), and enopthalmos (4.9%). The complication rate was not statistically significant between the 2 groups.

Conclusion: Subciliary and transconjunctival approaches to orbital floor repair are equally safe. This study is limited by a smaller sample size, and a larger study will likely be necessary to fully address this question.

Comments

Author Posting © The Author(s), 2020. This article is posted here by permission of MDPI for personal use, not for redistribution. This article was published open access in Caniomaxillofacial Trauma & Reconstruction, Vol. 13, Iss. 1 (March 16, 2020), https://doi.org/10.1177/1943387520904893.

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