Transconjunctival retroseptal vs. transcutaneous infraorbital approach out comes in the treatment of infraorbital rim and or orbital floor fractures . Prospective study

We had many approach to access traumatic orbital fracture, the inferior orbital floor needs to be exposed either a transcutaneous or a Transconjunctiva approach can be taken. The aim of our research was to compare two approach out comes. Patients and Method thirty nine patients were included , twenty one (53.85 %) cases were treated by infraorbital and eighteen ( 46.15%) with retroseptal approach. Results, the average time exposure of fracture site was 5 minutes with retroseptal approach while from the infra orbital approach it was 11 minutes. Post operative complication was associated with retroseptal approach were 7 cases conjunctival chemosis, 2 cases scleral show and one case transient entropion. While post operative complication associated with infra orbital approach were 4 cases noticeable scar, 3 cases transient infraorbital nerve damages, 3 cases infection of surgical site, 3 cases presented post operatively transient ectropion and 2 cases chronic lid oedema and one case presented with scleral show. Discussion our results revealed that the mean average time need for exposure was 5 minutes with retroseptal approach while from the infra orbital approach it was 11 minutes.