Incisions for orbital floor exploration

Nikisha A. Kothari, Yash J. Avashia, Benjamin T. Lemelman, Haaris S. Mir, Seth R. Thaller

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)S43-S47
JournalJournal of Craniofacial Surgery
Issue number7 SUPPL.1
StatePublished - Nov 2012


  • Incisions
  • orbital floor exploration
  • orbital floor fracture
  • subciliary
  • subtarsal
  • transconjunctival

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery


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