Intraoral Approach for Reduction and Fixation of Infraorbital Rim Fracture

Hammuda, Abdullah Atef

doi:10.21608/omx.2019.6195.1021

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…The utilized approach was resembling the approach utilized by keen. However, the infraorbital nerve was dissected to reach the part of the orbital rim above the infraorbital foramen 5,[8][9] . The successful application of the intraoral vestibular approach in open reduction and internal fixation of infraorbital rim fracture pushed the authors to modify this approach with two vertical periosteal scoring incisions within the flap periosteum medial and lateral to the infra-orbital nerve to increase the accessibility to the infra-orbital margin and compare it with the pre-septal trans-conjunctival approach in open reduction and internal fixation of infraorbital rim fracture.…”

Section: Discussionmentioning

confidence: 99%

“…These relaxing scoring incisions together with careful retraction of the nerve allow for direct and passive visualization of the infraorbital rim with subsequent proper reduction with direct and easy installation of the screws within the plate without harming the infraorbital nerve 18,19 . However temporary paresthesia of the infra-orbital nerve due to its dissection and elevation, the intraoral vestibular technique presents much more advantages than the trans-conjunctival technique such as wider access, less morbidity, fewer complications, and simplicity 5,[8][9] .…”

Section: Discussionmentioning

confidence: 99%

“…It has been used to reduce the zygomaticomaxillary complex and zygomatic arch fractures. Recently, this approach was presented as alternative for the extraoral approaches for infraorbital rim fixation by limited studies 5,[8][9] . Furthermore, limited studies have been conducted to compare it to different extraoral approach 10 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Vestibular versus trans-conjunctival approaches in open reduction and internal fixation of infraorbital rim fracture: A randomized clinical trial.

Omara

Rizk

Taema

et al. 2023

Egyptian Dental Journal

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Objective: This study aimed to compare the vestibular approach versus trans-conjunctival approach in the open reduction and internal fixation of infraorbital rim fracture.Patients and Methods: This randomized controlled trial was conducted on twenty-two patients with infraorbital rim fracture associated with or without other facial fractures excluding orbital floor that require open reduction and internal fixation. Patients were randomly divided into two equal groups; trans-conjunctival group and intraoral vestibular group. The intraoperative fracture exposure time was recorded in both groups and conducted for statistical analysis. The patients were recalled for clinical assessment of post operative pain, edema, infraorbital nerve (ION) function and eye lid integrity. Results:The outcome of the studied patients showed that the intraoral vestibular group has significantly shorter exposure time but higher post operative edema that totally resolved by the second week post operatively and transient ION affection in 18.1 % of post trauma free cases while the postoperative orbital movement and eye lid integrity in the intraoral vestibular group was superior than the trans-conjunctival group. Conclusion:Intraoral vestibular approach shortens the intraoperative time and provide ideal protection of eye ball function and eyelid integrity more than the trans-conjunctival group, but it required proper relaxing dissection of the ION and careful adequate retraction for better accessibility.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vestibular versus trans-conjunctival approaches in open reduction and internal fixation of infraorbital rim fracture: A randomized clinical trial.

Omara

Rizk

Taema

et al. 2023

Egyptian Dental Journal

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“…Infraorbital, subciliary and subtarsal approaches have an inherent disadvantage of a facial scar and associated lid complications. If infraorbital rim fracture per se is considered, incision that has minimal visibility are transconjunctival and modified intraoral vestibular incision [10]. These two incisions for the management of infra-orbital rim fracture have not been studied.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Efficacy of Transconjunctival Incision with Lateral Canthotomy and Intraoral Vestibular Incision for Management of Infra-orbital Rim Fracture

Pawar

Bhola

2021

JPRI

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Background: The treatment of an infraorbital rim fracture necessitates careful consideration. There several different techniques which are implicated with exposure of the infraorbital rim having its own sets of merits and demerits. Here, we intend to compare two incisions used for the management of fracture of the infraorbital rim. Objectives: The focus of this study is to compare and analyze the efficacy of transconjunctival and intraoral incisions in terms of time taken for fracture exposure, adequacy of exposure and fixation, and post-operative complications such as soft tissue injury, chemosis, infraorbital nerve paresthesia, ectropion, scleral show, lagophthalmos, and wound dehiscence. Methodology: Two groups with 10 patients requiring open reduction and internal fixation of infraorbital rim fracture in each group will be included in the study. The patients will be divided randomly into Group A consisting of patients undergoing open reduction and internal fixation using transconjunctival incision or Group B consisting of patients undergoing open reduction and internal fixation using intraoral incision. The two approaches will be compared on the basis of time taken for exposure of fracture site, adequacy of exposure and fixation and post operative complications like soft tissue injury, chemosis, infraorbital nerve paresthesia, ectropion, sclera show, lagophthalmos and wound dehiscence. Expected Results: The efficacy of intraoral incision would be better than transconjunctival incision as it would lead to lesser post operative ocular complications like chemosis, ectropion etc.

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