Executive Editor: Edward Ellis III, Kazuo Shimozato General Editor: Daniel Buchbinder

Authors: Carl-Peter Cornelius, Nils Gellrich, Søren Hillerup, Kenji Kusumoto, Warren Schubert

Midface - Zygomatic complex - ORIF with orbital floor exposure and reconstruction

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Glossary

Approaches to the maxilla

Approaches to the maxilla

Relevant to the required exposure in trauma of the midface two different approaches are possible: the maxillary vestibular approach (illustrated) and the midfacial degloving approach.

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Transcutaneous lower-eyelid approach

Lower eyelid - transcutaneous

There are three basic approaches through the external skin of the lower eyelid to give access to the inferior, lower medial, and lateral aspects of the orbital cavity: subciliary (A), subtarsal (B), and infraorbital (C) approaches.

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Lower eyelid - transconjunctival

Transconjunctival lower-eyelid approaches are performed in several ways.

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Coronal approach

Coronal approach

The coronal or bitemporal incision is used to approach the anterior cranial vault, the forehead, and the upper and middle regions of the facial skeleton.

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Horizontal lower lid laceration

Use of existing lacerations

Facial fractures are often associated with lacerations. These existing soft-tissue injuries can be used to access directly the facial bones for management of the fractures.

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v1.0 2009-12-03