{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:54:44Z","timestamp":1788875684639,"version":"build-2803163510"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.bjps.2025.11.021","type":"journal-article","created":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T21:00:19Z","timestamp":1763326819000},"page":"323-331","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Combined transconjunctival and transcaruncular approach with multiple sheet implantation for three-dimensional reduction of concomitant medial and inferior orbital wall fracture"],"prefix":"10.1016","volume":"113","author":[{"given":"Hidetaka","family":"Miyazaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1804-9526","authenticated-orcid":false,"given":"Muhammad","family":"Abumanhal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Miguel","family":"Ambat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1363-2870","authenticated-orcid":false,"given":"Yasuhiro","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2025.11.021_bib1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/00002341-199603000-00002","article-title":"Diplopia after surgical repair of orbital floor fractures","volume":"12","author":"Biesman","year":"1996","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib2","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1076\/orbi.21.1.27.2598","article-title":"Diplopia and enophthalmos after surgical repair of blowout fracture","volume":"21","author":"Hosal","year":"2002","journal-title":"Orbit"},{"key":"10.1016\/j.bjps.2025.11.021_bib3","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.ijom.2006.11.002","article-title":"Reconstruction of orbital wall defects: critical review of 72 patients","volume":"36","author":"Jaquiery","year":"2007","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib4","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.joms.2006.03.010","article-title":"A comparative study of 2 implants used to repair inferior orbital wall bony defects: Autogenous bone graft versus bioresorbable poly-L\/DL-Lactide [P(L\/DL) LA 70\/30] plate","volume":"64","author":"Al-Sukhun","year":"2006","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib5","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1097\/00002341-200209000-00007","article-title":"The inferomedial orbital strut: an anatomic and radiographic study","volume":"18","author":"Kim","year":"2002","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib6","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/00002341-199203000-00005","article-title":"The medical orbital strut in the prevention of postdecompression dystopia in dysthyroid ophthalmopathy","volume":"8","author":"Goldberg","year":"1992","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib7","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00002341-200003000-00013","article-title":"Orbital decompression. The inferomedial orbital strut: an anatomic and radiographic study","volume":"16","author":"Jordan","year":"2000","journal-title":"Ophthal Plast Reconstr Surg"},{"issue":"13","key":"10.1016\/j.bjps.2025.11.021_bib8","doi-asserted-by":"crossref","first-page":"3682","DOI":"10.3390\/jcm13133682","article-title":"Clinical significance of the inferomedial orbital strut in orbital blowout fractures: incidence of symptomatic diplopia in a fractured vs. intact strut","volume":"24","author":"Someda","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.bjps.2025.11.021_bib9","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/IOP.0b013e3181788de8","article-title":"Nylon foil \u201cWraparound\u201d repair of combined orbital floor and medial wall fractures","volume":"24","author":"Nunery","year":"2008","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib10","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1055\/s-0035-1563390","article-title":"Transcaruncular approach for treatment of medial wall and large orbital blowout fractures","volume":"9","author":"Nguyen","year":"2016","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"10.1016\/j.bjps.2025.11.021_bib11","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1016\/j.ophtha.2006.03.062","article-title":"Anatomical 3-dimensional pre-bent titanium implant for orbital floor fractures","volume":"113","author":"Metzger","year":"2006","journal-title":"Ophthalmol"},{"key":"10.1016\/j.bjps.2025.11.021_bib12","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1097\/SCS.0000000000002695","article-title":"Ocular motility after repair of combined medial and inferior orbital wall fractures with extended conjunctival incision with inferior oblique reattachment","volume":"27","author":"Ahn","year":"2016","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib13","series-title":"Surgical approaches to the facial skeleton","first-page":"9","article-title":"Periorbital incisions","author":"Ellis","year":"2006"},{"key":"10.1016\/j.bjps.2025.11.021_bib14","first-page":"53","article-title":"Exposure of the inferior orbit with fornix incision and lateral canthotomy","volume":"10","author":"McCord","year":"1979","journal-title":"Ophthal Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib15","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/S0161-6420(83)80049-9","article-title":"Surgery on orbital floor fractures: influence of time of repair and fracture size","volume":"90","author":"Hawes","year":"1983","journal-title":"Ophthalmology"},{"key":"10.1016\/j.bjps.2025.11.021_bib16","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1038\/sj.eye.6702384","article-title":"Orbital blow-out fractures: surgical timing and technique","volume":"20","author":"Harris","year":"2006","journal-title":"Eye"},{"key":"10.1016\/j.bjps.2025.11.021_bib17","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1097\/00002341-200005000-00004","article-title":"Correlation of preoperative computed tomography and postoperative ocular motility in orbital blow-out fractures","volume":"16","author":"Harris","year":"2000","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib18","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/S0161-6420(02)01057-6","article-title":"Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis","volume":"109","author":"Burnstine","year":"2002","journal-title":"Ophthalmology"},{"key":"10.1016\/j.bjps.2025.11.021_bib19","doi-asserted-by":"crossref","first-page":"480","DOI":"10.5999\/aps.2014.41.5.480","article-title":"Three-dimensional pre-bent titanium implant for concomitant orbital floor and medial wall fractures in an east Asian population","volume":"41","author":"Lee","year":"2014","journal-title":"Arch Plast Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib20","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/RCT.0b013e3181ac1975","article-title":"Computer-aided volumetric comparison of reconstructed orbits for blow-out fractures with nonpreformed versus 3-dimensionally preformed titanium mesh plates: a preliminary study","volume":"34","author":"Scolozzi","year":"2010","journal-title":"Comput Assist Tomogr"},{"key":"10.1016\/j.bjps.2025.11.021_bib21","doi-asserted-by":"crossref","first-page":"2059","DOI":"10.1007\/s00417-017-3790-y","article-title":"Incarceration of the inferior oblique muscle branch of the oculomotor nerve in patients with orbital floor trapdoor fracture","volume":"255","author":"Takahashi","year":"2017","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"10.1016\/j.bjps.2025.11.021_bib22","doi-asserted-by":"crossref","first-page":"4263","DOI":"10.2147\/OPTH.S394722","article-title":"Clinical results according to inferior oblique manipulation in patients with inferomedial blowout fracture involving the orbital strut","volume":"16","author":"Park","year":"2022","journal-title":"Clin Ophthalmol"},{"key":"10.1016\/j.bjps.2025.11.021_bib23","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1177\/1943387520928652","article-title":"Inferior oblique entrapment after orbital fracture with transection and repair","volume":"13","author":"Tooley","year":"2020","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"10.1016\/j.bjps.2025.11.021_bib24","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/S0142-9612(98)00241-5","article-title":"Bioresorbable devices made of forged composites of hydroxyapatite (HA) particles and poly-L-lactide (PLLA): part I. Basic characteristics","volume":"20","author":"Shikinami","year":"1999","journal-title":"Biomaterials"},{"key":"10.1016\/j.bjps.2025.11.021_bib25","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/S0142-9612(99)00232-X","article-title":"Biodegradation behavior of ultra-high-strength hydroxyapatite\/poly (l-lactide) composite rods for internal fixation of bone fractures","volume":"21","author":"Furukawa","year":"2000","journal-title":"Biomaterials"},{"key":"10.1016\/j.bjps.2025.11.021_bib26","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1097\/SCS.0000000000005734","article-title":"Use of unsintered hydroxyapatite and poly-l-lactic acid composite sheets for management of orbital wall fracture","volume":"30","author":"Tsumiyama","year":"2019","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib27","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1177\/19433875241236343","article-title":"Enophthalmos. Historical perspective on definitions, measurement devices, and clinical significance","volume":"17","author":"Mayo","year":"2024","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"10.1016\/j.bjps.2025.11.021_bib28","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.ophtha.2008.08.046","article-title":"Binocular single vision field","volume":"116","author":"Kakizaki","year":"2009","journal-title":"Ophthalmology"},{"key":"10.1016\/j.bjps.2025.11.021_bib29","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/j.1755-3768.1990.tb01891.x","article-title":"Orbital blowout fractures-the influence of age on surgical outcome","volume":"68","author":"Leitch","year":"1990","journal-title":"Acta Ophthalmol"},{"key":"10.1016\/j.bjps.2025.11.021_bib30","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1097\/IOP.0000000000001712","article-title":"Changes in field of binocular single vision and ocular deviation angle after balanced orbital decompression in thyroid eye disease","volume":"37","author":"Vaidya","year":"2021","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib31","first-page":"B5459","article-title":"Blowout fractures - clinic, imaging and applied anatomy of the orbit","volume":"65","author":"Nikolaj","year":"2018","journal-title":"Dan Med J"},{"key":"10.1016\/j.bjps.2025.11.021_bib32","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1097\/SCS.0000000000002604","article-title":"The dimensions of the orbital cavity based on high-resolution computed tomography of human cadavers","volume":"27","author":"Felding","year":"2016","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib33","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.joms.2021.07.030","article-title":"Do racial differences in orbital volume influence the reconstruction of orbital trauma","volume":"80","author":"Amin","year":"2022","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib34","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1001\/archfaci.9.6.443","article-title":"The transcaruncular approach: surgical anatomy and technique","volume":"9","author":"Goldberg","year":"2007","journal-title":"Arch Facial Plast Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib35","doi-asserted-by":"crossref","first-page":"2345","DOI":"10.1016\/j.joms.2006.06.270","article-title":"Transcaruncular approach to medial orbital wall fractures","volume":"65","author":"Edgin","year":"2007","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib36","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1097\/SCS.0b013e31824dba84","article-title":"Medial orbital wall fractures and the transcaruncular approach","volume":"23","author":"Choi","year":"2012","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib37","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1097\/01.iop.0000242163.03589.0e","article-title":"Combined inferior and medial surgical approaches and overlapping thin implants for orbital floor and medial wall fractures","volume":"22","author":"Su","year":"2006","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.021_bib38","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1002\/lary.29569","article-title":"Long-term effect of individualized titanium mesh in orbital floor reconstruction after maxillectomy","volume":"131","author":"Sun","year":"2021","journal-title":"Laryngoscope"},{"key":"10.1016\/j.bjps.2025.11.021_bib39","doi-asserted-by":"crossref","first-page":"8","DOI":"10.3109\/01676830.2012.736597","article-title":"Orbital adherence with titanium mesh floor implants: a review of 10 cases","volume":"32","author":"Kersey","year":"2013","journal-title":"Orbit"},{"key":"10.1016\/j.bjps.2025.11.021_bib40","unstructured":"Teijin Medical Technologies Co., Ltd. Super Fixorb MX. \u3008https:\/\/teijin-medical.co.jp\/products\/bonefix_mx\/sfixmx\/\u3009 [Accessibility verified September 11, 2025]."},{"key":"10.1016\/j.bjps.2025.11.021_bib41","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1016\/j.bjps.2018.03.006","article-title":"Immediate and long-term results of unsintered hydroxyapatite and poly L-lactide composite sheets for orbital wall fracture reconstruction","volume":"71","author":"Kohyama","year":"2018","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525006655?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525006655?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:36:04Z","timestamp":1774056964000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681525006655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":41,"alternative-id":["S1748681525006655"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2025.11.021","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Combined transconjunctival and transcaruncular approach with multiple sheet implantation for three-dimensional reduction of concomitant medial and inferior orbital wall fracture","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2025.11.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}