Combined Transconjunctival and Transcaruncular Approach for Repair of Large Orbital Floor and Medial Wall Fracture: A Case Report
A variety of approaches have been documented in literature for accessing the orbital floor and medial wall fractures. Several transcutaneous approaches were used traditionally, to access these regions. However, significant postoperative complications associated with these approaches have been reported. The transconjunctival approach was introduced to overcome these complications. However, the medial wall of the orbit was found to be difficult to gain access to, due to the vital structures in this area. The Lynch incision was the conventional approach of choice for access to the medial wall of the orbit. However, since 1998 the transcaruncular approach kept gaining popularity. The combined transconjunctival and transcaruncular approach to gain access to these fractures has recently been re-evaluated. We present a case of a patient with orbital floor and medial wall fractures secondary to trauma where a combined transconjunctival and transcaruncular incision was used.
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