Lower eyelid complications associated with transconjunctival versus subciliary approaches to orbital floor fractures

Oral and Maxillofacial Surgery
Niels Christian PauschKittipong Dhanuthai

Abstract

The aim of this study was to compare the frequencies of lower eyelid complications after subciliary versus transconjunctival approaches to orbital floor fractures. The investigators implemented a retrospective cohort study and enrolled a sample composed of subjects who had orbital floor repair. The predictor variable was surgical approach, classified as subciliary or transconjunctival. The primary outcome variable was postoperative lower eyelid complications (ectropion, entropion, and eyelid retraction). Other variables were demographic, anatomic, or time to surgery. Descriptive and bivariate statistics were computed. Statistical significance was set at P ≤ 0.05. The study samples were composed of 346 patients (98 [28.3%] females; 225 [65%] underwent a subciliary approach) with a mean age of 42.7 ± 21.1 years. The subciliary approach was significantly linked to the higher rates of ectropion and the lower rates of entropion at 7 days and 6 months postoperatively. There was no statistically significant difference in the frequency of eyelid retraction between both groups. In the setting of orbital floor fractures, these results suggest that the use of the subciliary approach increases the frequency of ectropion, while the transcon...Continue Reading

References

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Citations

Aug 16, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Rüdiger M ZimmererNils-Claudius Gellrich
May 7, 2021·Orbit·Kelly H YomErin M Shriver
Dec 24, 2020·Orbit·Victoria S NorthMichael K Yoon
Jun 16, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Lukas Benedikt SeifertRobert Sader

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