Orbital Floor Fracture Reduction Via Prelacrimal Approach

Abstract

Reduction of orbital floor fracture is performed to align the orbital rim and restore the orbital volume. The approaches used in the reduction of orbital floor fracture are classified into three types: transorbital, transantral and intranasal approach. Each of them has limitations, such as hypertrophic scar formation, facial hypoesthesia and difficult access with manipulation. Contrastively, the prelacrimal approach is a minimally invasive procedure that provides a better surgical view of fracture site than the three types mentioned. It also provides direct access to the fracture site. We would like to suggest the prelacrimal approach as a new option for orbital fracture reduction.