<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-0558</journal-id>
<journal-title><![CDATA[Revista Española de Cirugía Oral y Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Cirug Oral y Maxilofac]]></abbrev-journal-title>
<issn>1130-0558</issn>
<publisher>
<publisher-name><![CDATA[ Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-05582020000100003</article-id>
<article-id pub-id-type="doi">10.20986/recom.2020.1055/2019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje transconjuntival: primera elección en trauma orbitario]]></article-title>
<article-title xml:lang="en"><![CDATA[Transconjuntival approach: first choice in orbit trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedemonte Trewhela]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmona Avendañoa]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Mora]]></surname>
<given-names><![CDATA[Edgardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Farrena]]></surname>
<given-names><![CDATA[Ilich]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huentequeo]]></surname>
<given-names><![CDATA[Claudio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noguera]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Mutual de Seguridad Servicio de Cirugía y Traumatología Maxilofacial ]]></institution>
<addr-line><![CDATA[Santiago Región Metropolitana]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de los Andes Cirugía y Traumatología Maxilofacial ]]></institution>
<addr-line><![CDATA[Santiago Región Metropolitana]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-05582020000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-05582020000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-05582020000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Describir la eficacia del abordaje transconjuntival para el tratamiento de fracturas orbitarias con compromiso del suelo de la órbita y las posibles complicaciones asociadas a este abordaje.  Material y método: Es un estudio retrospectivo descriptivo en base a 98 pacientes con fractura de órbita donde se utilizó el abordaje transconjuntival, en el Servicio de Cirugía Maxilofacial del Hospital Clínico Mutual de Seguridad de Santiago de Chile, entre enero del 2012 y abril del 2017. Se determinó la tasa de éxito de dicha técnica y las variables con mayor predisposición a producir complicaciones. Los criterios de inclusión fueron pacientes con fracturas del complejo maxilofacial con compromiso de una o más paredes orbitarias. Se utilizó el test de Fisher para el análisis de datos, siendo significativo un p value &lt; 0,05.  Resultados: Los resultados obtenidos con el abordaje transconjuntival utilizado para el tratamiento de fracturas del complejo orbitomalar demuestran una alta tasa de éxito (94 %) en relación con las escasas complicaciones (6 %). Usando el test Fisher, las complicaciones estuvieron asociadas a fracturas maxilofaciales complejas por accidentes de alta energía, que traen como consecuencia gran destrucción del complejo orbitario, afectándose frecuentemente el aparato lagrimal, en reintervenciones usando el mismo acceso del abordaje, y en variaciones de la técnica en que se utilizó el abordaje transconjuntival con cantotomía lateral y/o retrocaruncular.  Conclusiones: El abordaje transconjuntival es una excelente alternativa en fracturas del complejo orbitomaxilo malar, especialmente para acceder al suelo de la órbita y al reborde infraorbitario, por sus mínimas complicaciones, pronóstico favorable y técnica de baja complejidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To describe the efficacy of the transconjunctival approach in orbital and orbital floor fractures and the possible complications associated with this approach.  Material and method: This is a retrospective descriptive study based on 98 patients with orbital fractures where the transconjunctival approach was used in the Maxillofacial Surgery Service of Mutual de Seguridad Hospital, Santiago - Chile, between January 2012 and April 2017. The success rate of this technique and the variables with greater predisposition to generate complications were determined. The inclusion criteria were patients with fractures of the maxillofacial complex with involvement of one or more orbital walls. Fisher's test was used for the data analysis, p - value &lt;0.05 being significant.  Results: Results obtained in our study demonstrate a high success rate (94%) in relation to the transconjunctival approach used for orbitozygomatic complex fractures treatments, with few complications observed (6%). Using the Fisher's test, complications were associated with complex maxillofacial fractures due to high energy accidents, which resulted in great destruction of the orbital complex, frequently affecting the lacrimal apparatus, in reinterventions using the same approach access and in variations of the technique in which the transconjunctival approach with lateral cantotomy and / or retrocaruncular extension was used.  Conclusions: The transconjunctival approach is an excellent alternative in orbitozygomatic maxilar complex fractures, especially to access the orbital floor and the infraorbital rim, due to its minimal complications and favorable prognosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abordaje transconjuntival]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[fracturas orbitarias]]></kwd>
<kwd lng="es"><![CDATA[órbita]]></kwd>
<kwd lng="en"><![CDATA[Transconjunctival approach]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[orbital fractures]]></kwd>
<kwd lng="en"><![CDATA[orbit]]></kwd>
</kwd-group>
</article-meta>
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