Combined surgical accesses for treatment of fractures in the orbital floor and lamina papyracea

case report

Abstract

The orbital region is quite susceptible to trauma, since it has an exposed position, besides being composed of fragile bones. When indicated, surgical intervention is required to preserve the patient's visual function and facial harmony. Transconjunctival and transcaruncular accesses are described in the literature as safe, fast, functional and aesthetically beneficial for the approach to the orbital floor and papyraceous lamina. On the biocompatible materials used, the titanium plate is inabsorbable and allows rigid internal fixation, being shaped to the natural curvatures of the bones, with low risk of infection. Porous polyethylene sheets are inert and nonabsorbable polymers that facilitate tissue growth and reduce the chances of rejection. In this case report, a 28-year-old male patient, a victim of facial trauma after sports practice, presented a fracture of the floor and the right orbital medial wall, and orbital reconstruction was indicated with transconjunctival and transcaruncular accesses for fixation of titanium plate in the floor of the right orbit and porous polyethylene sheets in papyracea leaf on the right, respectively.