Transcaruncular approach to the isolated medial orbital wall fracture: technical perspective and cadaveric dissection.
With technologic progress in imaging for patients with trauma, isolated medial orbital wall fractures have become an increasingly appreciated injury. Given that these injuries may cause deformity and functional deficit, reconstruction is warranted in some cases. Surgical approaches to the medial orbit have evolved, and there are particular benefits of the transcaruncular approach. This approach was used to reconstruct isolated medial orbital wall fractures for 9 patients over a 33-month period. A cadaver dissection demonstrating the approach combined with skull images is presented to illustrate anatomic details and technical points of the dissection.
From the Division of Plastic, Reconstructive, and Cosmetic Surgery, The University of Illinois at Chicago; and Division of Plastic Surgery, Mount Sinai Hospital, Chicago, Illinois.
David E
DE
Morris
Benjamin
B
Liliav
Mimis N
MN
Cohen
D002102:Cadaver; D004210:Dissection; D005260:Female; D006801:Humans; D008297:Male; D009915:Orbit / Q000033:anatomy & histology / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*