Supratarsal fold incision for approach to the superior lateral orbit.

OBJECTIVE: To report and evaluate the use of the supratarsal fold incision for access to the lateral and superior orbit.
DESIGN: This is a retrospective evaluation of seven patients with zygomatic and orbital fractures who underwent repair with the supratarsal fold incision used to expose the frontozygomatic region or supraorbital rim. Data were obtained by review of hospital charts, radiographs, and by clinical examination.
RESULTS: Excellent exposure and access were obtained because of the proximity of the incision to the lateral and superior orbit. Mobility of the eyelid tissue allowed for atraumatic manipulation and retraction. All fractures were adequately reduced by clinical and radiographic examination without complication.
CONCLUSION: The supratarsal fold incision is a versatile incision for access to the zygomaticofrontal suture and supraorbital rim. In addition to providing excellent exposure, it produces a superb cosmetic result with a scar well-hidden in the skin folds of the upper eyelid.