Advantages of the Retroseptal Transconjunctival Approach With Lateral Canthotomy for the Treatment of Orbital Fractures. A Series of 22 Cases

Background Orbital fractures account for a significant proportion of midfacial trauma, with reported incidences between 10% and 25%. Timely surgical intervention is essential to prevent aesthetic and functional complications. The retroseptal transconjunctival approach with lateral canthotomy has gained popularity due to its minimally invasive nature and enhanced surgical access Material and Methods This retrospective case series analyzed 22 patients treated for orbital floor or orbito-malar fractures at Dr. Franco Ravera Zunino Hospital between 2020 and 2022. All patients underwent surgery using the aforementioned approach under general anesthesia. Data on demographics, fracture type, and complications were collected. Results The most common fractures included isolated orbital floor (8), orbital floor with medial wall (7), and orbito-malar fractures (5). Only two patients experienced minor complications—one case of diplopia and one of ectropion—both of which resolved within three weeks. No infections or significant ophthalmologic sequelae occurred. Conclusions This technique provides wide exposure, favorable aesthetic results, and a low complication rate, supporting its effectiveness in orbital fracture management.