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Original Article
April 1997

Complications of the Transconjunctival ApproachA Review of 400 Cases

Author Affiliations

From the Physician Skin Care and Facial Plastic Surgery Center, Sebastian, Fla (Dr Mullins), and the Departments of Ophthalmology (Dr Holds) and Otolaryngology–Head and Neck Surgery (Drs Holds, Branham, and Thomas), St Louis University Health Sciences Center, St Louis, Mo.

Arch Otolaryngol Head Neck Surg. 1997;123(4):385-388. doi:10.1001/archoto.123.4.385
Abstract

Objective  To review the intraoperative and postoperative complications of the transconjunctival approach, as well as their prevention, management, and outcomes.

Design  A retrospective study of the complications in 400 patients who underwent the transconjunctival approach to the lower eyelid or orbit for treatment of orbital trauma or the aging face.

Setting  Academic tertiary referral medical center.

Results  There were 8 cases of conjunctival granuloma, 2 cases of entropion, and 1 case each of hematoma, ectropion, prolonged chemosis, conjunctival inclusion cyst, lower eyelid laceration, and avulsion with lacrimal system injury.

Conclusions  Complications of the transconjunctival approach are uncommon. When they do occur, proper management results in a successful outcome.

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