title: Medial orbital wall reconstruction through subciliary approach: revisited.
abstract: The aim of this study is to determine the safety and complication of subciliary approach through the retrospective review of our experiences. From 2005 through 2008, the subciliary skin-muscle flap methods were used in 30 patients undergoing medial orbital wall reconstruction. Preoperative and postoperative ophthalmic findings including diplopia, Hertel exophthalmometry, and occurrence of complications were checked. Resorbable polylactic acid sheet or porous polyethylene sheet was trimmed and molded in L shape, vertical portion to cover the medial wall defect and horizontal portion for stability in orbital floor.In the follow-up of diplopia, half of the patients (3 cases) presenting with diplopia improved during the first month of follow-up, and all of them improved by 6 month. For hypesthesia, all patients improved by 3 months. Enophthalmos of 1 patient improved after operation and did not recur. No patients complained of visible scar 6 months postoperatively, and no ectropion was observed.We think that medial orbital wall could be reconstructed safely through skin-muscle flap subciliary approach without resulting in ectropion or lacrimal canaliculus injury.
authors.affiliation: Department of Plastic Surgery and Center for Advanced Medical Education by BK21 Project, Inha University School of Medicine, Jung-Gu, Incheon, Korea. jokerhg@inha.ac.kr
authors.forename: Kun
authors.initials: K
authors.lastname: Hwang
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D019344:Lactic Acid; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D011091:Polyesters; D011095:Polyethylenes; D011108:Polymers; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D011091:Polyesters; D011095:Polyethylenes; D011108:Polymers; D019344:Lactic Acid; C033616:poly(lactide)