Conservative treatment with taping, lubricating ointment, and steroid for eyelid malposition complications should be performed first, and then surgical intervention when the conservative treatment fails. Furthermore, to prevent eyelid malposition complications, doctors should choose the appropriate orbital fracture approach according to the patient’s needs, and delicate tissue management, technical expertise, and meticulous hemostasis are necessary. Meanwhile, pathogenesis of eyelid malposition after orbital fracture surgery are discussed. Reports revealed that the scar usually occurred in infraorbital incisions compared with subtarsal and subciliary incisions, and the transconjunctival approach had a higher incidence of entropion and flattening, and less ectropion than the transcutaneous approach. ![]() In this review, we summarized the surgical approaches of orbital fractures and the complications including scar, ectropion, retraction, entropion, flattening, laceration and lacrimal canaliculus avulsion and notch deformity that associated with eyelid, especially the lower eyelid. Some patients may have multiple types of eyelid malposition. Eyelid malposition after orbital fracture surgery is not only an aesthetic concern but also a functional complication, which will cause eyes discomfort, such as corneal exposure and ocular irritation. The application of orbital fracture approaches depends on fractures’ range and the surgeons’ preferences. Approaches are divided into transcutaneous and transconjunctival ones. ![]() Studies have shown that mostly eyelid malposition is mainly due to the choice of surgical approaches of orbital fracture repair. Policy of Dealing with Allegations of Research MisconductĪbstract: Orbital fractures generally do not cause eyelid malposition. ![]()
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |