A Comparative Study of Surgical Approaches for Infraorbital Fractures
Objective
This study compares two surgical methods to access the infraorbital area for treating fractures, focusing on both function and appearance after surgery.
Methods
We analyzed 22 patients over 18 months with zygomaticomaxillary complex (ZMC) fractures. Patients were divided into two groups: one for the subciliary approach and the other for the infraorbital approach. We measured surgery time, ease of access, and evaluated the appearance and complications after surgery at 1 week, 1 month, 3 months, and 6 months.
Results
- The subciliary incision took three times longer than the infraorbital approach.
- The infraorbital approach provided excellent access to the fracture site.
- Initially, the subciliary group showed more complications like denting and scleral show, while the infraorbital group had more visible scars.
- However, after 6 months, there were no significant differences in appearance between the two methods.
Conclusion
The infraorbital approach is effective with fewer complications and is easier to perform for infraorbital and orbital floor fractures.
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