Different surgical approaches are available for reduction and fixation of orbital floor fractures. However, each approach could be than associated with eyelid retraction and ectropion and/or scar visibil- sibly ity. In this study, intra-oral approach could be alternative approach vic- for reduction and fixation of orbital floor fracture with avoidance the of the aforementioned problems. Materials and methods: over 100 patients were complaining of dis- placed orbital bone fracture (including; frontozygomatic suture and orbital floor). Lateral eye brow incision was used for fixation of frontozygomatic suture. However, the orbital floor was reached through intra-oral incision. The mucosal tissues were dissected and elevated upwards till reach the inferior orbital rim. Infra- orbital nerve was dissected and isolated for easy and a traumatic retraction during reduction and fixation of fractured segments. Then the fractured segments were reduced and fixed using titanium plates and screws. Results: 99% of patients were treated by both lateral eye brow and intra-oral incisions for bone fixation using titanium plates and screws. However, 1% of patients needed additional lower lid incision for making sure that the floor is perfectly reduced with no muscle bu- entrapment. No lower lid ectropion and/or scar appearance. Discussion: Intra-oral approach is a good approach for reduc- tion and fixation of orbital floor fracture unless; there are no comminuting floor and/or muscle entrapmen.
