Subtarsal Versus Transconjunctival Approach: A Long-Term Follow-Up of Esthetic Outcomes and Complications

Oztel, Mehmet; Goh, Ryan; Hsu, Edward W.

doi:10.1016/j.joms.2021.02.004

Cited by 8 publications

(9 citation statements)

References 18 publications

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“…Additionally, there is an increased risk for noticeable scar as the incision is further away from the lash line in comparison to a subciliary approach. 12 Contrary to this, in 2021, Oztel et al 47 found that out of a series of 67 patients who underwent subtarsal incision for orbital wall fractures, 61 had no visible scar. Although the conjunctival incision has no scar, the excellent outcomes proposed by Oztel et al 47 demonstrate that scar formation may actually be limited, and that subtarsal incisions should be considered when reconstructing the orbital wall.…”

Section: Discussionmentioning

confidence: 97%

“… 12 Contrary to this, in 2021, Oztel et al 47 found that out of a series of 67 patients who underwent subtarsal incision for orbital wall fractures, 61 had no visible scar. Although the conjunctival incision has no scar, the excellent outcomes proposed by Oztel et al 47 demonstrate that scar formation may actually be limited, and that subtarsal incisions should be considered when reconstructing the orbital wall. Finally, when comparing surgical approaches, it is imperative to consider exposure and access for selecting the best approach.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Surgical Approaches to Orbital Fractures: A Practical and Systematic Review

Palavalli

Huayllani

Gokun

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Orbital fractures constitute a significant percentage of all midface injuries. Here, we present a contemporary evidence-based review of the major surgical approaches for orbital wall fractures and analyze the literature to compare all major surgical procedures and their complication rates. Method: A systematic review was conducted to compare surgical approaches (subciliary, transcaruncular, transconjunctival, subtarsal, and endoscopic) and postoperative complications in patients who underwent surgical fixation of orbital wall fractures. A database search in PubMed (PubMed Central, MEDLINE and Bookshelf) was performed for all articles containing the terms “orbital,” “wall,” “fracture,” and “surgery” with different combinations. Results: A total of 950 articles were obtained and 25 articles were included, representing an analysis of 1137 fractures. The most frequent surgical approach was the endoscopic (33.3%) followed by the external surgical approaches, specifically transconjunctival (32.8%), subciliary (13.5%), subtarsal (11.5%), and transcaruncular (8.9%). The transconjunctival approach had a statistically significantly higher rate of complications (36.19%), followed by the subciliary (21.4%), and endoscopic approach (20.2%, P < 0.0001). The subtarsal approach had a statistically significantly lower rate of complications (8.2%) followed by the transcaruncular approach (14.0%, P < 0.0001). Conclusion: The subtarsal and transcaruncular approaches were observed to have the lowest rates of complications, whereas the transconjunctival, subciliary, and endoscopic approaches were reported to have higher rates of complications.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Surgical Approaches to Orbital Fractures: A Practical and Systematic Review

Palavalli

Huayllani

Gokun

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

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“…Therein, the pain level of the wounds was mainly assessed by Visual Analog Scale (VAS) [ 25 ]. The assessment of wound healing was primarily performed by visual observation and superficial measurements, such as monitoring the size, color, odor, drainage, and eschar of the wound, and the Vancouver Scar Scale (VSS) [ 26 ] and Manchester Scar Scale (MSS) [ 27 ] were used to quantify the wound assessment outcomes for patients. Specifically, each patient was evaluated by the surgeons from the same medical team before and after PRP treatment.…”

Section: Methodsmentioning

confidence: 99%

The efficacy and safety of platelet-rich plasma in the tendon-exposed wounds: a preliminary study

et al. 2022

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Objective Currently, among wounds with large skin tissue defects caused by various reasons, the treatment of refractory wounds is still a major clinical problem. This study is aimed to preliminarily assess the therapeutic potentials of platelet-rich plasma (PRP) in refractory wounds with exposed tendons, as well as corresponding efficacy and safety. Methods A total of 12 patients (5 males and 7 females) with refractory wounds and exposed tendons who were admitted to our hospital from June 2018 to December 2020 were included in this study. After the preparation of PRP, the included patients underwent the PRP injection after the debridement of wounds, and the efficacy and prognosis were assessed by the same group of senior surgeons. Results The average age of included patients was 42.7 ± 12.9 years, and the causes of injury included traffic accidents (3 cases), contusion (2 cases), burns (2 cases), diabetes complications (4 cases), and melanoma complications (1 cases). The average healing time was 23.0 ± 5.0 days, and the mean size of the wound was 3.1 × 5.1 cm2. During the whole treatment process, Vancouver Scar Scale (VSS) decreased from 7.4 ± 1.6 before PRP treatment to 3.6 ± 0.9 after treatment (P < 0.001), Manchester Scar Scale (MSS) decreased from 12.3 ± 4.5 before PRP treatment to 5.4 ± 1.2 after treatment (P < 0.001), and no redness and swelling were observed around wounds, the size and degree of wounds gradually reduced, the coverage rate of granulation tissue was acceptable, overall quality of scar was relatively good, skin sensitivity around wounds was normal, there was no local wounds secretion, and postoperative patient's satisfaction was relatively good during follow-up. Conclusions Our study has preliminarily indicated that PRP can promote the wounds healing, reduce the inflammation around wounds, and improve the granulation tissue and angiogenesis, thereby effectively polishing up the safety and efficacy.

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“…Häufiger kommt es im Rahmen von Narbenbildungen zu einem Entropion des Unterlides. Die Häufigkeit wird mit etwa 0,5 % angegeben [513,[515][516][517]. Die meisten Komplikationen sind temporär und führen nur selten zur Notwendigkeit einer erneuten Operation.…”

Section: Transkonjuktivale Zugangswegeunclassified

Interdisziplinäre Therapie der Erkrankungen der Orbita

Eckstein,

Welkoborsky

2024

Laryngorhinootologie

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ZusammenfassungDie Diagnostik und Therapie von Erkrankungen der Orbita ist eine interdisziplinäre Aufgabe, an der u.a. die Fachdisziplinen HNO-Heilkunde, Augenheilkunde, Radiologie, Strahlentherapie, MKG-Chirurgie, Endokrinologie und Pädiatrie beteiligt sind. Der vorliegende Übersichtsartikel stellt eine Zusammenstellung der häufigsten Erkrankungen dar, mit denen die Fachdisziplinen HNO-Heilkunde und Augenheilkunde interdisziplinär befasst sind. Es werden die akuten entzündlichen Erkrankungen incl. orbitaler Komplikationen, die autoimmunologischen Erkrankungen der Orbita incl. der endokrinen Orbitopathie, und die tumorösen Erkrankungen besprochen. Neben der Diagnostik und der Beschreibung der Klinik wird besonderes Augenmerk auf die interdisziplinäre Therapie gelegt. Abgerundet wird der Übersichtsartikel mit der Beschreibung der wichtigsten chirurgischen Zugangswege zur Orbita, ihre Indikationen und mögliche Komplikationen. Die Autoren haben versucht, trotz der knappen Darstellung die relevanten Fakten zu beschreiben.

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Subtarsal Versus Transconjunctival Approach: A Long-Term Follow-Up of Esthetic Outcomes and Complications

Cited by 8 publications

References 18 publications

Surgical Approaches to Orbital Fractures: A Practical and Systematic Review

Surgical Approaches to Orbital Fractures: A Practical and Systematic Review

The efficacy and safety of platelet-rich plasma in the tendon-exposed wounds: a preliminary study

Interdisziplinäre Therapie der Erkrankungen der Orbita

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