Repair of Orbital Wall Fracture Using Transcaruncular Approach

ABSTRACT

Transcutaneous and transconjunctival approaches are still the most frequently used techniques in repairing orbital wall fractures. However, medial wall fracture is still a challenging area to the oculoplastic surgeons due to technical difficulties and postroperative scars. Transcaruncular approach is an effective way to repair medial or combined medial and inferior orbital wall fractures without visible scars. Ten cases of orbital wall fractures are repaired using the transcaruncular approach alone or combined with transconjunctival approch. All patients were corrected satisfactorily without leaving any visible scar. We think transcaruncular approach is a useful technique to repair medial orbital wall fracture.