title: Expansion orbitotomy: another approach to the orbital floor.
abstract: Surgeons encounter obstacles on the orbital floor reconstruction because of its narrow operative field. In particular, such procedure tends to be more difficult when the orbital contents are stuck between bone defects and are not easily restored. Tugging the soft tissue using forceps or mosquitoes could injure the soft tissues. Tessier infraorbital marginotomy could be helpful to solve such problem. However, his method is too invasive and cannot be easily applied. In this study, we describe a modification of Tessier inferior orbitotomy. Our method is to expand the fractured hole through osteotomy of fractured margin. Advantages of this technique are simpler and less invasive when the orbital contents are stuck between bone fragments.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yeungnam University Hospital, College of Medicine, Yeungnam University, Daegu, Republic of Korea. kimyon@ynu.ac.kr
authors.forename: Yong-Ha
authors.initials: YH
authors.lastname: Kim
authors.forename: Sung-Eun
authors.initials: SE
authors.lastname: Kim
authors.forename: Tae Gon
authors.initials: TG
authors.lastname: Kim
authors.forename: Junho
authors.initials: J
authors.lastname: Lee
mesh_terms: D001484:Baseball / Q000293:injuries; D004172:Diplopia / Q000209:etiology; D004210:Dissection / Q000379:methods; D004564:Electrocoagulation / Q000379:methods; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D015835:Ocular Motility Disorders / Q000209:etiology; D009915:Orbit / Q000601:surgery*; D009917:Orbital Fractures / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010292:Paresthesia / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D055815:Young Adult