Open AccessClinical outcome following use of transconjunctival approach in reducing orbitozygomaticomaxillary complex fractures
Author(s) -
Saurabh Kumar,
S Shubhalaksmi
Publication year - 2016
Publication title -
contemporary clinical dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.289
H-Index - 21
eISSN - 0976-237X
pISSN - 0976-2361
DOI - 10.4103/0976-237x.183067
Subject(s) - medicine , reduction (mathematics) , surgery , internal fixation , zygomatic fractures , fixation (population genetics) , fibrous joint , orbital fracture , physical examination , dentistry , population , geometry , mathematics , environmental health
The increasing emphasis on the open reduction and internal fixation of orbito-zygomatico-maxillary complex fractures has led to a more critical appraisal of the various surgical approaches to the orbital and zygomatic skeleton. Transconjunctival approach popularized by Tessier although credited to Bourquet in 1924 offer excellent exposure of the orbito-zygomatico-maxillary complex fracture especially the infra-orbital rim, frontozygomatic suture and the orbital floor. The argument against a transconjunctival access focuses primarily on concern about limited exposure that apparently makes accurate reduction and osteosynthesis of displaced fracture fragments difficult or impossible. Also, due to close association with eye and various ocular complications reported in the literature, most of the surgeons feel skeptical about using this approach.