Joel A Bronstein1, William J Bruce1, Fadi Bakhos1, Dalia Ishaq1, Cara J Joyce2, Victor Cimino1. 1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL, USA. 2. Department of Public Health Sciences, Loyola University Medical Center, Maywood, IL, USA.
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.
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.
Authors: Gregor F Raschke; Ulrich M Rieger; Rolf-Dieter Bader; Oliver Schaefer; Arndt Guentsch; Stefan Schultze-Mosgau Journal: Clin Oral Investig Date: 2012-07-01 Impact factor: 3.573