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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2016, Number 2

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Rev Mex Cir Bucal Maxilofac 2016; 12 (2)

Transcaruncular-transconjuntival approach of the orbit

Varela-Reyes E, Encinas-Bascones A, De la Sen-Corcuera O, Martín-Granizo R, Falahat F, De Pedro-Marina M

Language: Spanish
References: 11
Page: 68-71
PDF size: 350.04 Kb.


ABSTRACT

The orbit can be addressed via transdermal or transconjunctival incisions. The advantages of the approaches through the conjunctive are, especially, the absence of visible scars. By pure or associated lateral canthotomy transconjunctival approach, a suitable surgical field of the orbital floor and of the sidewall is obtained. However, the medial wall of the orbit is difficult to reach due to the existing structures in this area. For decades, the Lynch incision (transcutaneous incision between the nasal dorsum and the medial edge), was the approach of reference for the medial wall of the orbit. However, since 1998, when the transcaruncular approach was described, it kept growing as an option for the treatment of various processes affecting the medial wall of the orbit. Our goal is to present the advantages and disadvantages of the combined transcaruncular-transconjuntival approach, presenting the case of a patient with medial wall fracture secondary to trauma and the surgical technique employed.


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