“The aim of osteosynthesis was anatomical reduction after removal of displaced orbital soft tissues and bony fragments from the maxillary sinus. We exposed the orbital floor by a transconjunctival approach without cantholysis and located the infraorbital nerve before osteosynthesis to protect it.
The orbital fragment was fixed in the anterior aspect of the orbital floor using 1.0 and 1.3 mm microplates (Synthes, Paoli, USA). It is difficult to fix screws in the posterior or central part of the orbital floor because of angulation of the drill and unreliable anchorage of screws in thin bone. The fragment of the orbital floor was