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Arch Otolaryngol Head Neck Surg. 1991;117(6):593.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the previous issue of the ARCHIVES, current concepts regarding anatomic considerations and the evaluation process for orbital trauma were reviewed. In this issue, reconstruction and complications will be considered.

RECONSTRUCTION

When reconstruction has been determined necessary secondary to findings on physical examination and radiographic evaluation, various approaches must be considered. The approach to the orbital rim and floor may be via the rim, subciliary, or transconjunctival incisions.¹ The former has the advantage of a direct approach to the rim and floor, but may lead to an unsightly facial scar. The subciliary incision has the advantage of being relatively well hidden and offers excellent exposure to the entire medial and lateral aspects of the inferior orbital rim and corresponding regions of the orbital floor. However, there is an increased risk of ectropion and "rounding" of the eye with this approach. Regardless, this is the most commonly utilized approach at . . . [Full Text PDF of this Article]

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