Our experience of using the second crease Blepharoplasty incision at the mid-Yorkshire NHS trust to access and repair orbital floor fractures. A discussion of the adequacy of exposure, perioperative and long term complications of this approach

At Midyorkshire NHS trust we encounter a high volume of traumatic injuries to the Zygomatic-orbital complex. Historically, these fractures were accessed and repaired via a second crease Blepharoplasty incision to the lower eyelid. This is a well-established approach for several reasons but has the obvious drawback of a visible scar that is potentially unanaesthetic left behind. We are currently debating a change of practice to the trans-conjunctival pre-septal approach to avoid this scarring but endeavoured to see if this change is warranted.

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