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'Sutureless' transconjunctival approach for infraorbital rim fractures.

Nagaraj V, Ghosh A, Nanjappa M, Ramesh K - Contemp Clin Dent (2015)

Bottom Line: After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position.Healing was satisfactory in all patients.The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, V. S. Dental College and Hospital, Bengaluru, Karnataka, India.

ABSTRACT

Aim: To analyze the ease and surgical outcome of using sutureless transconjunctival approach for repair of infra-orbital fractures.

Design: Prospective clinical case series.

Materials and methods: Totally 5 patients with infra-orbital rim or orbital floor fractures were selected and the fractures were accessed through a pre-septal transconjunctival incision. After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position. Incidence of post-operative complications such as diplopia, lid retraction, eyelid dystopia, foreign body granuloma and poor conjunctival healing was assessed at intervals of 1 week, 15 days and a month post-operatively.

Results: No complications were observed in any of the 5 patients. Healing was satisfactory in all patients.

Conclusion: The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.

No MeSH data available.


Related in: MedlinePlus

Two weeks postoperative view showing conjunctival healing and the sulcular depth
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Figure 2: Two weeks postoperative view showing conjunctival healing and the sulcular depth

Mentions: No attempt was made toward periosteal closure. The conjunctiva was allowed to fall back and was “re-draped” into position [Figure 2]. If a cantholysis was performed, the lateral canthus was resuspended to the periosteum of the lateral orbital rim with absorbable suture. A small amount of ophthalmic antibiotic ointment was placed over both eyes. All patients received intra-operative and postoperative intravenous antibiotics and corticosteroids. Patients were put on antibiotic eyedrops (moxifloxacin 0.5%, 1–2 drops 4th hourly for 3 days postoperatively). All patients were advised to restrict opening of the eyes for 2 days and to avoid strenuous physical exercises for 2 weeks. All patients were reviewed at the intervals of 1 week, 15 days and a month.


'Sutureless' transconjunctival approach for infraorbital rim fractures.

Nagaraj V, Ghosh A, Nanjappa M, Ramesh K - Contemp Clin Dent (2015)

Two weeks postoperative view showing conjunctival healing and the sulcular depth
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374321&req=5

Figure 2: Two weeks postoperative view showing conjunctival healing and the sulcular depth
Mentions: No attempt was made toward periosteal closure. The conjunctiva was allowed to fall back and was “re-draped” into position [Figure 2]. If a cantholysis was performed, the lateral canthus was resuspended to the periosteum of the lateral orbital rim with absorbable suture. A small amount of ophthalmic antibiotic ointment was placed over both eyes. All patients received intra-operative and postoperative intravenous antibiotics and corticosteroids. Patients were put on antibiotic eyedrops (moxifloxacin 0.5%, 1–2 drops 4th hourly for 3 days postoperatively). All patients were advised to restrict opening of the eyes for 2 days and to avoid strenuous physical exercises for 2 weeks. All patients were reviewed at the intervals of 1 week, 15 days and a month.

Bottom Line: After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position.Healing was satisfactory in all patients.The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, V. S. Dental College and Hospital, Bengaluru, Karnataka, India.

ABSTRACT

Aim: To analyze the ease and surgical outcome of using sutureless transconjunctival approach for repair of infra-orbital fractures.

Design: Prospective clinical case series.

Materials and methods: Totally 5 patients with infra-orbital rim or orbital floor fractures were selected and the fractures were accessed through a pre-septal transconjunctival incision. After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position. Incidence of post-operative complications such as diplopia, lid retraction, eyelid dystopia, foreign body granuloma and poor conjunctival healing was assessed at intervals of 1 week, 15 days and a month post-operatively.

Results: No complications were observed in any of the 5 patients. Healing was satisfactory in all patients.

Conclusion: The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.

No MeSH data available.


Related in: MedlinePlus