Incisions used for orbital floor exploration continues to remain a topic of controversy. Historically, 3 incisions have been used for orbital floor repair: transconjunctival, subciliary, and subtarsal. Past studies have attempted to stratify the superiority of one incision over the others. Insufficient level of evidence and inconsistent methodology have lead to inconclusive data. Our authors performed a systematic review of literature to assess the quality of evidence in literature and recommend guidelines for incisions for repairing orbital fractures. Thirty-one articles were identified, comprising a total of 4688 incisions. Technique along with individual benefits and complication profiles for each incision is reviewed. Objectivity and follow-up time intervals are necessary parameters for evaluating incisions for orbital floor exploration to further define guidelines.
From the *Miller School of Medicine, and †Division of Plastic and Reconstructive Surgery, Department of Surgery, Miller School of Medicine, University of Miami, Miami, Florida.
Received April 14, 2012.
Accepted for publication April 16, 2012.
Address correspondence and reprint requests to Seth R. Thaller, MD, DMD, FACS, Chief and Professor, Division of Plastic and Reconstructive Surgery, The DeWitt Daughtry Family Department of Surgery, University Of Miami Health System, Clinical Research Building, 1120 NW 14th St, 4th Floor, Miami, FL 33136; E-mail: SThaller@med.miami.edu
The authors report no conflicts of interest.