Combined transconjunctival and transcaruncular approach for repair of large medial orbital wall fractures

Christopher Seungkyu Lee, Jinsook Yoon, Yeul Lee Sang

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objectives: To describe the combined transcaruncular and transconjunctival approach in isolated large medial orbital wall fractures and to study the implications of uncorrected posterior orbital volume on postoperative enophthalmos. Methods: A retrospective medical record review was performed of 23 consecutive patients who underwent reduction surgery for isolated large medial orbital wall fractures using the combined transcaruncular and transconjunctival approach between February 1, 2003, and October 31, 2007. The unaffected contralateral orbital volume was assumed to represent the pretrauma volume of the affected orbit, and the uncorrected posterior orbital volume after reduction was determined using a software program. Results: The mean (SD) volume of the affected orbit changed from 26.00 (2.01) cm3 to 24.08 (2.06) cm 3 after reduction, which was still larger than the contralateral unaffected orbit by 1.48 (0.83) cm3. Despite the uncorrected volume in the most posterior portion of the medial wall, the mean (SD) postoperative enophthalmos measured only 0.17 (0.29)mmusing Hertel exophthalmometry at a mean follow-up of 8.5 months. Conclusions: The combined transconjunctival and transcaruncular approach results in excellent outcomes in terms of prevention of postoperative enophthalmos of the large medial wall fracture without substantial complications. The far posterior medial volume may not contribute significantly to the development of posttraumatic enophthalmos.

Original languageEnglish
Pages (from-to)291-296
Number of pages6
JournalArchives of Ophthalmology
Volume127
Issue number3
DOIs
Publication statusPublished - 2009 Mar 1

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Enophthalmos
Orbital Fractures
Orbit
Medical Records
Software

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

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title = "Combined transconjunctival and transcaruncular approach for repair of large medial orbital wall fractures",
abstract = "Objectives: To describe the combined transcaruncular and transconjunctival approach in isolated large medial orbital wall fractures and to study the implications of uncorrected posterior orbital volume on postoperative enophthalmos. Methods: A retrospective medical record review was performed of 23 consecutive patients who underwent reduction surgery for isolated large medial orbital wall fractures using the combined transcaruncular and transconjunctival approach between February 1, 2003, and October 31, 2007. The unaffected contralateral orbital volume was assumed to represent the pretrauma volume of the affected orbit, and the uncorrected posterior orbital volume after reduction was determined using a software program. Results: The mean (SD) volume of the affected orbit changed from 26.00 (2.01) cm3 to 24.08 (2.06) cm 3 after reduction, which was still larger than the contralateral unaffected orbit by 1.48 (0.83) cm3. Despite the uncorrected volume in the most posterior portion of the medial wall, the mean (SD) postoperative enophthalmos measured only 0.17 (0.29)mmusing Hertel exophthalmometry at a mean follow-up of 8.5 months. Conclusions: The combined transconjunctival and transcaruncular approach results in excellent outcomes in terms of prevention of postoperative enophthalmos of the large medial wall fracture without substantial complications. The far posterior medial volume may not contribute significantly to the development of posttraumatic enophthalmos.",
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Combined transconjunctival and transcaruncular approach for repair of large medial orbital wall fractures. / Lee, Christopher Seungkyu; Yoon, Jinsook; Sang, Yeul Lee.

In: Archives of Ophthalmology, Vol. 127, No. 3, 01.03.2009, p. 291-296.

Research output: Contribution to journalArticle

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