Comparing two different treatment methods for fracture of lateral wall of eye socket using lower eyelid approach from its inner aspect and lateral eyebrow approach.

Comparative Evaluation of Surgical and Aesthetic outcomes of Transconjunctival with Lateral Canthotomy and Supraorbital Eyebrow Approach to access Superolateral Orbital Rim In Zygomaticomaxillary Complex Fractures - A Prospective Randomized Clinical Study

Status

Recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2022/09/045561

Enrollment

Registered

2022-09-15

Start date

Unknown

Completion date

Unknown

Last updated

2023-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: S024- Fracture of malar, maxillary and zygoma bones Health Condition 2: O- Medical and Surgical

Interventions

Intervention1: Transconjunctival approach with lateral canthotomy: participants will undergo transconjunctival approach with lateral canthotomy for superolateral rim of orbit in zygomaticomaxillary. I

Eligibility

Inclusion criteria

Inclusion criteria: 1. Participants in the age group of 18â?? 60 years of both genders. 2.Unilateral Zygomaticomaxillary complex fracture involving the superolateral orbital rim 3. Participant willingness for inclusion in the study. 4. Participants coming within 2 weeks for open reduction and internal fixation of unilateral zygomaticomaxillary complex fracture involving superolateral rim

Exclusion criteria

Exclusion criteria: 1. Participants with systemic disease contraindicating general anesthesia. 2. Acute or chronic active conjunctival diseases. 3. Participants having pre existing para orbital laceration. 4. Previous paraorbital scarring around due to any traumatic or inflammatory cause. 5. Previous surgery in lower eyelid region involving inferior fornix. 6. Participants having preexisting eyelid margin anomaly.

Design outcomes

Primary

Measure	Time frame
To evaluate surgical and aesthetic outcomes of transconjunctival with lateral canthotomy and supraorbital eyebrow approach to access superolateral orbital rim in zygomaticomaxillary complex fractures with respect to ease of access and complications. Timepoint: Clinical outcomes will be evaluated post operatively at 24hrs, 1 week, 1 month, 3 months	—

Secondary

Measure	Time frame
To evaluate intra-operative time required for access through transconjunctival with lateral canthotomy and supraorbital eyebrow approach to access superolateral orbital rim in zygomaticomaxillary complex fracture. Timepoint: Intra operative time : Time required for exposure of fracture site ie the time of incision placement till the completion of exposure will be calculated in minutes using stopwatch. ;To evaluate the incidence of complications with transconjunctival with lateral canthotomy and supraorbital eyebrow approach to access superolateral orbital rim in zygomaticomaxillary complex fracture.Timepoint: Incidence of complications will be evaluated at 24hrs, 1 week, 1 month and 3 months	—

Measure

Time frame

To evaluate intra-operative time required for access through transconjunctival with lateral canthotomy and supraorbital eyebrow approach to access superolateral orbital rim in zygomaticomaxillary complex fracture. Timepoint: Intra operative time : Time required for exposure of fracture site ie the time of incision placement till the completion of exposure will be calculated in minutes using stopwatch. ;To evaluate the incidence of complications with transconjunctival with lateral canthotomy and supraorbital eyebrow approach to access superolateral orbital rim in zygomaticomaxillary complex fracture.Timepoint: Incidence of complications will be evaluated at 24hrs, 1 week, 1 month and 3 months

—

Countries

India

Contacts

Public ContactDr Adil Gandevivala

MGM Dental College and Hospital

srivalli.shrikanth@gmail.com9769088803

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026