Comparison of cutaneous incisions to approach the infraorbital rim and orbital floor|
Crosara, Juliana de Melo; da Rosa, Everton Luis Santos & Alves e Silva, Micena Roberta Miranda
The aim of this article was to retrospectively analyze and compare the esthetic outcomes achieved after the
use of 20 subciliary incisions, 22 subtarsal incisions and 16 infraorbital incisions to approach the infraorbital rim
and orbital floor in orbital fractures.
The sample consisted of 58 patients (37 males and 21 females) with
orbital trauma (floor and infraorbital rim) treated with open reduction and internal rigid fixation in the Department
of Oral and Maxillofacial Surgery at "Hospital de Base do Distrito Federal", Brazil, between September 1996
and August 2003. The following aspects were evaluated: (1) the average distance of the scars measured from
the ciliary margin caudally, (2) the esthetic appearance of the scars, (3) chronic lid edema, (4) scleral show, (5)
Subciliary incision demonstrated better surgical results when compared to the non-subciliary
incisions. No statistically significant difference in chronic lid edema rates was found between the three groups of
incisions (Fisher, p>0.217 in all cases). There was no statistically significant difference in ectropion, scleral show and
chronic edema rates between the three groups of incisions.
The subciliary and subtarsal incisions
offer better esthetic results than the infraorbital incision,
facial injuries, orbital fractures, eyelid, incisions.