Evaluation of Cutaneous Approaches to The Orbital Skeleton Inmanagement of Facial Injuries

Abd Al-Razzaq Baheer, Majeed

	Evaluation of Cutaneous Approaches to The Orbital Skeleton Inmanagement of Facial Injuries
Medical Journal of Babylon
Article 1, Volume 12, Issue 3, 2015, Pages 836-848
Author
Majeed Abd Al-Razzaq Baheer
Abstract
The aim of the study was to evaluate the cutaneous approaches to the orbital skeleton & making a comparison among various types of these approaches into each aspects of the orbit with consideration of intraoperative visibility, functional & esthetic results. 24 patients requiring 47 incisions for repairing their orbital fractures, had been reviewed,and distributed as following; 10 eyebrow incisions (21.2%),7 temporal incisions (14.9%), 7subciliary incisions (14.9%),6 inferior rim incisions (12.7%), 5 subtarsal incisions (10.6%),4 lacerated wounds or previous scars (8.5%),2 crow's foot incisions (4.2%), 3superolateral incisions (6.4%), 2 lynchincisions (4.2%) and 1 bicoronal incision (2.1 %). These approaches were evaluated according to their visual field, functional, cosmetic&post-operative complications depending on type and position of the incision, intraoperative time consuming and period of tissue manipulation. Scar appearance for each incision was graded as invisible,barely visible & visible.¬ The study recorded two cases of transient scleral show (16.6%) and one case of transient moderate ectropion (8.3%).The surgical access to various parts of the orbit, operating time, potential damage to adjacent anatomical structures, and acceptability of the scar and the development of postoperative complications are important factors which have to be considered when choosing the approach to the orbit.
Keywords
orbital; Facial; Injury; cutaneous

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