Combined Transconjunctival and Transcaruncular Approach for Repair of Large Orbital Floor and Medial Wall Fracture: A Case Report

  • Neha Chodankar Goa Dental College and Hospital, Bambolim Goa
  • Dr. Vikas Dhupar Professor and head, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim Goa- 403202
  • Dr. Francis Akkara Professor, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim Goa- 403202
Keywords: transconjuctival approach, scarless approach, transcaruncular approach, lateral canthoomy

Abstract

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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CITATION
DOI: 10.26838/MEDRECH.2022.9.2.593
Published: 2022-04-14
How to Cite
1.
Chodankar N, Dhupar V, Akkara F. Combined Transconjunctival and Transcaruncular Approach for Repair of Large Orbital Floor and Medial Wall Fracture: A Case Report. Med. res. chronicles [Internet]. 2022Apr.14 [cited 2022May22];9(2):137-51. Available from: https://medrech.com/index.php/medrech/article/view/573
Section
Case Report

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