Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study

El‐Anwar, Mohammad Waheed; Elsheikh, Ezzeddin; Hussein, Atef; Tantawy, Adly; Abdelbaki, Youssef Mansour

doi:10.1007/s10006-017-0617-2

Cited by 27 publications

(44 citation statements)

References 24 publications

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“…Even compared with indirect open reduction, a technique introduced by Burm and Oh [ 4 ] in 1998, our procedure can be considered more precise because the fracture site can be observed with the naked eye. Moreover, compared to a previous study in which a subciliary incision was used to reduce nasal bone fractures and zygomatic arch fractures in a group of patients with blowout fracture, although the direct view of the fractured site was the same for the transconjunctival approach, meticulous dissection by an experienced surgeon resulted in lower risks of incision scar and postoperative ectropion or scleral show for the transconjunctival approach, which can be considered major advantages [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

Kim

Kang

Jeon

et al. 2018

Arch Craniofac Surg

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Background Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method. Methods The participants in the present study included 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and underwent surgery for nasal fracture and orbital blowout fracture. We assessed patients’ and doctors’ satisfaction with surgical outcomes after indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture with associated orbital blowout fracture. Results According to the satisfaction scores, both patients and doctors were satisfied with transconjunctival approach.ConclusionWe presented here that our method enables simultaneous operation of nasal fracture accompanied by orbital blowout fracture, rather than treating the two fractures separately, and it allows precise reduction of the nasal fracture by direct visualization of the fracture site without any additional incisions or difficult surgical techniques. Also, by preventing the use of excessive force during reduction, this method can minimize damage to the nasal mucosa, thereby reducing the incidence of nasal bleeding.

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Section: Discussionmentioning

confidence: 99%

Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

Kim

Kang

Jeon

et al. 2018

Arch Craniofac Surg

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“…Em ambos, a dor cedeu após uma ou duas semanas. 10 No acesso subciliar, 10% apresentaram ectrópio e 15%, esclera aparente. O transconjuntival não apresentou essas complicações, mas o resultado não foi considerável.…”

Section: Na Abordagem Transcaruncular (Figura 5)unclassified

“…Assim, o acesso transconjuntival foi apresentado como uma ferramenta para evitar ectrópio e esclera aparente, especialmente em fraturas mais severas. 10 Sobre os materiais utilizados, as placas de titânio fixadas no assoalho orbitário são materiais biocompatíveis capazes de manter e posicionar a região fraturada. Elas permitem uma fixação interna rígida, de maneira tridimensional, e ainda podem ser moldadas conforme as curvaturas naturais dos ossos envolvidos.…”

Section: Na Abordagem Transcaruncular (Figura 5)unclassified

Acessos cirúrgicos combinados para tratamento de fraturas em assoalho orbital e lâmina papirácea

Costa

Streit-Junior

Araújo

et al. 2019

RMRP

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A região orbitária é bastante suscetível a traumas, visto que apresenta uma posição exposta, além de ser composta por ossos frágeis. Quando indicada, é preciso intervenção cirúrgica para preservar a função visual e harmonia facial do paciente. Os acessos transconjuntival e transcaruncular são descritos na literatura como formas seguras, rápidas, funcionais e esteticamente benéficas para a abordagem ao assoalho orbitário e lâmina papirácea. Sobre os materiais biocompatíveis utilizados, a placa de titânio é inabsorvível e permite fixação interna rígida, sendo moldada às curvaturas naturais dos ossos, com baixo risco de infecção. As folhas de polietileno poroso são polímeros inertes e não absorvíveis que facilitam o crescimento de tecido e reduzem as chances de rejeição. Nesse relato de caso, evidencia-se paciente masculino, 28 anos, vítima de traumatismo facial após prática esportiva que apresentou fratura de assoalho e parede medial orbitária direita, sendo indicada reconstrução orbitária com acessos transconjuntival e transcaruncular para fixação de placa de titânio em assoalho da órbita direita e de folhas de polietileno poroso em lâmina papirácea à direita, respectivamente.

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“…Because maxillofacial buttresses represent the bars that support the maxillofacial skeleton building, they serve as the prime locations for plate fixation during repair [1][2][3].…”

Section: Biomechanicsmentioning

confidence: 99%

“…The masseter muscles can also affect the ZMC fracture. Thus, by masseter muscles, action on the fractured segment displaces the fractured zygoma mainly downward inward with medial rotation [1][2][3].…”

Section: Biomechanicsmentioning

confidence: 99%

Biomechanics of Maxillofacial Trauma and Fractures

El‐Anwar¹

2018

Orthop Muscular Syst

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Tolerability of the maxillofacial bone to trauma depends upon bone thickness (facial buttresses system) and the velocity, directions, and force of trauma besides the paranasal sinuses pneumatizations. Muscle action on the fractured bones determines the degree and severity of displacement of fractured facial bones. The current article tried to increase the understanding of the biomechanics of maxillofacial trauma and fractures in the way for optimum management of such fractures.

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Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study

Cited by 27 publications

References 24 publications

Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

Acessos cirúrgicos combinados para tratamento de fraturas em assoalho orbital e lâmina papirácea

Biomechanics of Maxillofacial Trauma and Fractures

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