What is a Transantral approach?

A transantral approach allows access to the orbital floor via the maxillary sinus. This approach may be especially useful when repairing a floor fracture of the trap door variety. Achieve exposure of the incision site with upper labial retraction exposing the buccal-gingival sulcus.

What is periorbital approach?

Overview. There are two periorbital approaches to the superolateral rim of the orbit: Lateral eyebrow approach (supraorbital eyebrow approach, A) Upper-eyelid approach (upper blepharoplasty or supratarsal fold approach, B)

What is a transconjunctival incision?

Transconjunctival incision The transconjunctival incision is performed in a lateromedial direction. It can be performed preseptally or retroseptally. The lower eyelid is everted to identify the position of the lower tarsal plate through the conjunctiva.

What is the periorbital area?

The area around the eyes is called the eye socket or eye orbit. Sometimes people refer to this condition as periorbital puffiness or puffy eyes.

What does Transconjunctival mean?

The transconjunctival blepharoplasty is receiving increasing attention as an alternate technique to traditional transcutaneous blepharoplasty. With the transconjunctival technique, an incision is made through the lower lid conjunctiva, thereby avoiding an external incision through the skin and leaving no obvious scar.

What is the preseptal transconjunctival approach to orbital floor fractures?

Preseptal transconjunctival approach to the orbital floor fractures. Surgical technique Although technically more demanding than the retroseptal approach, the preseptal approach enables a large and safe access to the entire orbital floor by passing through an anatomical bloodless plane.

What are the two types of transconjunctival approaches?

There are two different routes for the transconjunctival approach: retroseptal and preseptal [6]. Many authors use retroseptal approach in blepharoplasty procedures and in treatment of orbital fractures, because of direct access to the orbital floor [4, 7].

What is transconjunctival approach to orbital trauma?

Tessier was first to advocate transconjunctival approach, to expose the orbital floor for treatment of congenital disease and trauma in 1973 [3]. The ability to reach the periosteum through a transconjunctival incision allows access to a great portion of orbit.

Is the retroseptal transconjunctival approach better for orbital rim repair?

While the retroseptal approach offers a more direct and easier route to the orbital rim and floor, it is associated with a significantly higher rate of lower lid complications compared to the preseptal approach. We will focus on the preseptal transconjunctival approach.