Evidence map›Paper›PMID 41969582›Full record

ArticlePlastic and reconstructive surgery. Global open2026

Subciliary Closure in Orbital Fractures: A Comparison Between Cutaneous and Cutaneo-periosteal Sutures.

Ma Guadalupe Castillo-Cardiel, Dayana Irais Piña-Diaz, Víctor Christian Ledezma-Rodríguez, Carlos Enrique Capetillo-Texson, Andrea García, Xóchitl Monteon-Aspeitia, Ana Paula Capetillo-Texson, Jazmín Monserrat Guzmán-Diaz, Alejandro González-Ojeda, Gabino Cervantes-Guevara and 5 more

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Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Ma Guadalupe Castillo-CardielFrom the Department of Maxillofacial Surgery, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Dayana Irais Piña-DiazDepartment of Plastic and Reconstructive Surgery, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Víctor Christian Ledezma-RodríguezDepartment of Plastic and Reconstructive Surgery, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Carlos Enrique Capetillo-TexsonBiomedical Research Unit 02, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Andrea GarcíaCoordination of Planning and Institutional Liaison, Mexican Social Security Institute, Baja California Sur, Mexico.
Xóchitl Monteon-AspeitiaBiomedical Research Unit 02, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Ana Paula Capetillo-TexsonBiomedical Research Unit 02, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Jazmín Monserrat Guzmán-DiazBiomedical Research Unit 02, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Alejandro González-OjedaFaculty of Medicine, University of Colima, Colima, Mexico.
Gabino Cervantes-GuevaraDepartment of Well-being and Sustainable Development, Northern University Center, University of Guadalajara, Guadalajara, Jalisco, Mexico.
Enrique Cervantes-PérezDepartment of Internal Medicine, Civil Hospital of Guadalajara Fray Antonio Alcalde, University Center of Health Sciences, University of Guadalajara, Guadalajara, Jalisco, Mexico.
Sol Ramírez-OchoaDepartment of Internal Medicine, Civil Hospital of Guadalajara Fray Antonio Alcalde, University Center of Health Sciences, University of Guadalajara, Guadalajara, Jalisco, Mexico.
Andrea Socorro Álvarez-VillaseñorAuxiliary Medical Coordination for Health Research, Mexican Social Security Institute (IMSS), La Paz, Baja California Sur, Mexico.
Daniela Flores-HernándezBiomedical Research Unit 02, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.
Clotilde Fuentes-OrozcoBiomedical Research Unit 02, Specialty Hospital, Western National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The orbital floor is the most fragile region of the facial skeleton and is highly prone to fractures, making precise anatomical restoration essential to prevent complications. Among surgical approaches, the subciliary and transconjunctival techniques are most commonly used. Closure is typically performed in 2 layers: periosteum and skin. Methods: A prospective, experimental, longitudinal comparative study was conducted at a tertiary care hospital in western Mexico between July and October 2024. A total of 100 patients with orbital floor fractures were randomly assigned into 2 groups. Group 1 underwent skin-only closure, whereas group 2 received combined periosteal and skin closure. Results: Outcomes evaluated included postoperative complications (eyelid retraction and ectropion) and the need for surgical reintervention on days 8, 15, and 30, along with demographic variables and comorbidities. The sample included 88 men (88%) and 12 women (12%), with a mean age of 34.8 ± 12.3 years. A significantly higher incidence of eyelid retraction was observed in the combined closure group during the first week (16% versus 2%; Conclusions: In conclusion, periosteal plus skin closure was associated with a higher incidence of eyelid retraction, without reducing ectropion or reintervention rates compared with skin-only closure.

Identifiers

PMID41969582
PMCPMC13068471

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.