Modified upper eyelid approach for treatment of medial orbital fractures

Abstract

Introduction: The search for less invasive techniques is necessary for the evolution of the specialty of Oral and Maxillofacial Surgery, including the surgical management of facial trauma. Aim: The aim of this article is to propose a non-invasive approach that can be used in the treatment of fractures of the medial wall of the orbit and naso-orbito-ethmoid fractures. Surgical technique: The modified upper eyelid approach consists of a conventional upper palpebral incision on the medial aspect of the eyelid. After detachment of the respective external frame and internal orbit, access can be gained to the upper part of the naso-orbito-ethmoidal complex, the medial wall of the orbit and a small part of the frontal bone. Conclusion: The modified upper eyelid approach is an effective option for the treatment of fractures of the medial internal orbit and naso-orbito-ethmoidal complex, allowing the restoration of part of the external orbital frame and internal orbit without aesthetic compromise.