Holtmann B, Wray R C, Little A G
Plast Reconstr Surg. 1981 Jun;67(6):731-7. doi: 10.1097/00006534-198106000-00003.
We previously compared conjunctival and subciliary incisions for exposure of orbital floor and infraorbital rim fractures. A prospective randomized comparison of lower eyelid and orbital rim incisions was then undertaken and results compared with our previous study. Lower eyelid and orbital rim incisions provided more rapid access to fracture sites. Fracture exposure was adequate with all but conjunctival incisions; lateral canthotomy was added in 56 percent of cases to improve exposure. There were minimal or no intraoperative and postoperative complications except for a 42 percent incidence of ectropion following subciliary incisions. Scar appearance was similar in the four groups, except when an isolated conjunctival incision was used, which produced an invisible scar.
我们之前比较了结膜切口和睑缘下切口用于暴露眶底和眶下缘骨折的情况。随后对下睑和眶缘切口进行了前瞻性随机比较，并将结果与我们之前的研究进行对比。下睑和眶缘切口能更快速地到达骨折部位。除结膜切口外，其他切口的骨折暴露情况均良好；56%的病例中增加了外眦切开术以改善暴露。除睑缘下切口后42%的睑外翻发生率外，术中及术后并发症极少或无。除了单独使用结膜切口产生不可见瘢痕外，四组的瘢痕外观相似。
