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Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
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Article

Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries

by
Alexandra G. Kesselring
*,
Paul Promes
,
Elske M. Strabbing
,
Karel G. H. van der Wal
and
Maarten J. Koudstaal
Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, 3015 CE Rotterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2016, 9(2), 109-112; https://doi.org/10.1055/s-0035-1567813
Submission received: 12 June 2014 / Revised: 11 July 2015 / Accepted: 11 July 2015 / Published: 3 November 2015

Abstract

The aim of this study is to analyze the development of lower eyelid malposition following reconstruction of orbital fractures, in relation to the incisions used for access. A total of 198 surgical orbital floor reconstructions were performed in 175 patients between 2001 and 2011. Preoperative and postoperative presence of lower eyelid malposition of patients was reported. The types of incision used for access were as follows: approach via laceration (4.5%), via preexisting scar (16.2%), infraorbital (40.9%), subciliar (23.7%), transconjunctival (13.1%), and transconjunctival with lateral canthotomy (1.5%). The incidence of ectropion development following surgery was 3.0% and the incidence of entropion development following surgery was 1.0%. The highest rate of ectropion (11.1%) was seen using an approach via a laceration, followed by approach via a scar (6.3%). Our conclusion is that the transconjunctival incision without a lateral canthotomy has a low complication rate, provides adequate exposure, and leaves no visible scar.
Keywords: orbital trauma; ectropion; entropion; lower eyelid malposition; incision orbital trauma; ectropion; entropion; lower eyelid malposition; incision

Share and Cite

MDPI and ACS Style

Kesselring, A.G.; Promes, P.; Strabbing, E.M.; van der Wal, K.G.H.; Koudstaal, M.J. Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries. Craniomaxillofac. Trauma Reconstr. 2016, 9, 109-112. https://doi.org/10.1055/s-0035-1567813

AMA Style

Kesselring AG, Promes P, Strabbing EM, van der Wal KGH, Koudstaal MJ. Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries. Craniomaxillofacial Trauma & Reconstruction. 2016; 9(2):109-112. https://doi.org/10.1055/s-0035-1567813

Chicago/Turabian Style

Kesselring, Alexandra G., Paul Promes, Elske M. Strabbing, Karel G. H. van der Wal, and Maarten J. Koudstaal. 2016. "Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries" Craniomaxillofacial Trauma & Reconstruction 9, no. 2: 109-112. https://doi.org/10.1055/s-0035-1567813

APA Style

Kesselring, A. G., Promes, P., Strabbing, E. M., van der Wal, K. G. H., & Koudstaal, M. J. (2016). Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries. Craniomaxillofacial Trauma & Reconstruction, 9(2), 109-112. https://doi.org/10.1055/s-0035-1567813

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