Periorbital Approaches

Pterygomasseteric Fascia

A standard series of incisions has been used extensively to approach the inferior and lateral orbital rims. Properly placed incisions offer excellent access with minimal morbidity and scarring. The most commonly used approaches are those made on the external surface of the lower eyelid, the conjunctival side of the lower eyelid, the skin of the lateral brow, and the skin of the lower eyelid. This section describes these four approaches. Other periorbital approaches exists and can be useful. Existing lacerations of 2 cm or larger can also be used to approach the orbit.

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