J Korean Assoc Oral Maxillofac Surg 2017; 43(1): 42~45
Chemosis as complication in transconjunctival approach for orbital trauma
Sergio Olate1,2, Celso Palmieri Jr.3, Márcio de Moraes4
1Department of Oral and Maxillofacial Surgery, Universidad de La Frontera, 2Center for Research in Biomedical Sciences, Universidad Autónoma de Chile, Temuco, Chile, 3Department of Oral and Maxillofacial Surgery, Louisiana State University, Shreveport, LA, USA, 4Deparment of Oral Diagnosis, State University of Campinas, Piracicaba, Brazil
Sergio Olate
Department of Oral and Maxillofacial Surgery, Universidad de La Frontera, Claro Solar 115, 4to Piso, Oficina 20, Temuco 4780000, Chile
TEL: +56-45-2400968   FAX: +56-45-2325000
E-mail: sergio.olate@ufrontera.cl
ORCID: http://orcid.org/0000-0001-8153-0676
Received February 13, 2016; Revised March 12, 2016; Accepted March 26, 2016.; Published online February 28, 2017.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
The aim of this report was to discuss a complication resulting from a transconjunctival approach to treating an orbital fracture. A 30-year-old male patient presented with a fracture to the zygomatic orbital complex. He was treated with transconjunctival conventional surgical treatment. Two days after surgical treatment, the patient presented with secondary chemosis which was initially slight and then subsequently worsened. The clinical situation was managed with topical and systemic corticosteroids and resolved within one postoperative month. Two-year follow-up showed ptosis of the upper eyelid and limited infraversion in the affected eye. This unusual complication associated with an orbital trauma was resolved with minor functional alterations, although the consequences observed after 2 years were not completely satisfactory.
Keywords: Orbital fracture, Complications, Orbital approach

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30 April 2017
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