Management of infraorbital rim and orbital floor fractures: A comparison of subciliary and infraorbital approaches

Background: Selection of approach to treat orbital fractures involves multiple factors such as visibility and esthetics. Aims and Objectives: The aim of this study is to compare subciliary and infraorbital incisions for orbital floor and infraorbital rim fractures. Materials and Methods: We carried our study in twenty patients, who reported to the department of oral and maxillofacial surgery with orbital floor and infraorbital rim fractures. The patients were divided into two groups (Group A - subciliary incision and Group B - infraorbital incision), with ten patients in each group. We compared infraorbital and subciliary incisions to approach the infraorbital rim and orbital floor in orbital fractures using criteria such as exposure time, esthetics, and complications. Results: All the analysis was done using SPSS version 14. P <0.05 was considered statistically significant. We found that infraorbital incision took shortest time for exposing fractured site, caused more edema after 1 month of procedure, and lead to more visible scarring when compared to subciliary incision. Conclusion: We recommend subciliary incision to approach the infraorbital rim and orbital floor fractures.