Objective: To evaluate the complications, advantages and disadvantages of the subtarsal approach when used to exposure the orbital rim and orbital floor in orbitozygomatic fractures.
Methods: Retrospective study of the 41 subtarsal incisions that were used in 39 patients with fractures of the zygomatic complex and/or orbital floor, of blowout type, between January 2002 and December 2006.
Results: The observed complications were conjunctivitis, epiphora and noticeable scar, in six (14,6%), five (12,2%) and two (4.9%) of the cases, respectively. There was no ectropion, entropion or scleral show in the patients reevaluated.
Conclusions: The main advantages of this approach are the esthetic result together with the transoperative benefits.
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