Conjunctival Approach를 사용한 안와저 분쇄골절의 수술적 치료

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.