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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
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Figure 3: Two weeks postoperative view

Mentions: All patients showed good ocular motility. None of them showed any postoperative eyelid dystopia [Figure 3]. No ectropion, entropion, lagophthalmos was observed. None of the patients showed cicatricial scarring of the conjunctiva or shortening of the conjunctival fornix, any implant infection or foreign body granulomas.


'Sutureless' transconjunctival approach for infraorbital rim fractures.

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

Two weeks postoperative view
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Two weeks postoperative view
Mentions: All patients showed good ocular motility. None of them showed any postoperative eyelid dystopia [Figure 3]. No ectropion, entropion, lagophthalmos was observed. None of the patients showed cicatricial scarring of the conjunctiva or shortening of the conjunctival fornix, any implant infection or foreign body granulomas.

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