Versatile use of extended transconjunctival approach for orbital reconstruction

Deok Woo Kim, Sang Rok Choi, Seung Ha Park, Sang Hwan Koo

    Research output: Contribution to journalArticlepeer-review

    19 Citations (Scopus)


    When exposing the orbit, the transconjunctival approach is regarded to have limited surgical exposure. The aim of this study is to demonstrate the versatile usability of extended transconjunctival approach, which can be extended medially and laterally, in reconstruction of medial orbital wall, floor, and even the lateral rim in maxillo-malar complex fracture.We reviewed 122 cases of orbital fractures treated with extended transconjunctival approach. The operative results were assessed by postoperative CT scan and reviewing postoperative complications. The extended transconjunctival approach provided sufficient surgical exposures in all cases. There was no ectropion or scleral show during follow-up period. The cutaneous scars were almost invisible in most cases.The extensile character of this approach makes continuous exposure of the orbit from frontozygomatic suture laterally to the frontonasal suture medially, while minimizing scar and eyelid complications.

    Original languageEnglish
    Pages (from-to)374-380
    Number of pages7
    JournalAnnals of Plastic Surgery
    Issue number4
    Publication statusPublished - 2009 Apr


    • Blowout fracture
    • Calvarial bone graft
    • Canthotomy
    • Orbital fracture
    • Transcaruncular approach
    • Transconjunctival approach
    • Zygoma fracture

    ASJC Scopus subject areas

    • Surgery


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