Abstract
Purpose
The aim of our study was to evaluate the feasibility of an intraoral approach in the management of infraorbital rim fracture.
Patients and Methods
A total of 12 patients of which four were female and five were male with isolated unilateral zygomaticomaxillary complex (ZMC) fractures, essentially involving the infraorbital foramen (right or left), were included in this study. Indications for surgical intervention were cosmetic deformity, disturbance of vision, persistent paresthesia, or impaired mandibular movement. All the patients were subjected to thorough preoperative evaluation. A three-point fixation was performed in all the patients. Various parameters such as time required for exposure and the amount of accessibility were assessed intraoperatively, while the stability of the fixation and paresthesia pertaining to the distribution of the infraorbital nerve were assessed postoperatively.
Results
A total of 12 patients with a mean age of 35.75 ± 12.7 years were included in the study. The mean time recorded for exposure and fixation was 21.33 ± 2.8 min. The accessibility was rated as “excellent” in 92% (11 patients) of the operated cases and rated “satisfactory” in 8% (1 patient) of the operated cases. The fixation was found to be stable in 100% of the cases. By the end of 8 months, normal mechanoreceptor response was elicited in 42% (five patients) of the cases and normal nocireceptor response was elicited in 92% (11 patients) of the cases.
Conclusion
The intraoral approach for fixation of the infraorbital rim is versatile and can be mastered even by novice surgeons. The virtual lack of complications and short learning curve make this approach an invincible modus operandi in a surgeon's repertoire.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Metzger MC, Schon R, Schulze D et al (2006) Individual performed titanium mesh for orbital fractures. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 102:442–447
Begain ZH, Malkawaj Z, Hadali A et al (2008) Subtarsal approach for orbital floor repair: a long term follow up of 12 cases in a Jordanian teaching hospital. J Oral MaxillofacSurg 66:45–50
Patel PC, Sobota BT, Patel NM et al (1998) Comparison of transconjunctival versus subciliary approaches for orbital fractures: a review of 60 cases. J Craniomaxillofac Trauma 4:17
Keen WW (1909) Surgery, its principles and practice. WB Saunders, Philadelphia, pp 1906–1921
Balasubramaniam S (1966) Intra oral approach for reduction of malar fracture. Br J Oral Surg 4:189–191
De Souza Carvalho A et al (2012) Intraoral approach to zygomatic fracture. J CraniofacSurg 23:537–538
Ridgway EB, Chen C (2009) A retrospective study and meta-analysis comparing subtarsal, subciliary, and transconjunctival incisions. PlastReconstrSurg 124(5):1578–1586
Raschke GF, Rieger UM (2013) Transconjunctival versus subciliary approach for orbital fracture repair–an anthropometric evaluation of 221 cases. Clin Oral Investig 17(3):933–42
Holtmann B, Wray RC, Little AG (1981) A randomized comparison of four incisions for orbital fractures. Plast reconstr surg 67:731–735
Rowe NL, Williams JL (1994) Row and William’s maxillofacial injuries, 2nd edn. Churchil Livingstone, p 512
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Thumu, S.K., Vura, N., Gaddipati, R. et al. Management of Infraorbital Rim Fracture Through Intraoral Approach. J. Maxillofac. Oral Surg. 21, 911–915 (2022). https://doi.org/10.1007/s12663-021-01566-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-021-01566-5