Single Eyelid Incision for Exposure of the Zygomatic Bone and Orbital Reconstruction

Abstract

Experience with a single lower eyelid incision with mobilization of the lateral canthus is described for exposure of the zygoma, lower and lateral orbit, and zygomaticofrontal suture. The incision may be either subciliary with a skin-muscle flap or transconjunctival. Both require mobilization of the canthus. Reattachment of the canthus is not required in acute zygomatic fracture treatment but is preferred for secondary orbital reconstruction or in patients in whom a simultaneous coronal incision is employed. The approaches described reduce cutaneous scarring and provide generous exposure of the lower and lateral orbit. Predictable and improved aesthetic results are routinely achieved.