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1Principles

Lateral orbital wall plate
Some surgeons recommend placement of a plate to reduce and fixate the lateral wall of the orbit between the greater wing of the sphenoid and the zygoma. This helps to guarantee a proper reduction of this fracture. It can only be used if there is no comminution of the lateral wall of the orbit. Placement of this plate is difficult because of necessary globe retraction. If a surgeon decides to position a plate in this location there is limited room, and often only one screw can be placed on each side of the fracture. If this plate is to be used, the authors recommend placing this as the second plate after the plate on the zygomaticofrontal suture.

This plate can be placed through the upper eyelid incision or if the fracture is not as posterior as in this illustration through the inferior eyelid incision.