الفهرس 
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Abstract
Several studies have shown that the approaches done for infraorbital rim was done under the eyelid or from within it. The simplest method of repair should be chosen according to the following four main principles for the surgical repair of a maxillofacial fracture: adequate exposure, reduction of the fracture, stable fixation, and minimal complications.
The aim of this study is to evaluate the intra-oral approach to reduction and fixation of infraorbital rim and discuss field of surgical exposure and patient satisfaction.
The current study was carried out on twelve patients who were diagnosed with varies fractures in the face, which also included the fracture of infraorbital rim without orbital floor fracture or need to exploration , based on some conditions, including the absence of laceration that prevents intervention intraoral , which facilitates correction through it and avoids fractures in floor of the orbit that need another surgical approaches, non displaced fracture that treat conservative and medically compromised patients with diseases that may affect the treatment or healing should be avoided in the age ranging from 18 to 50 years.
The surgical procedure will be performed under general anesthesia. A horizontal upper vistibular incision will be performed from the lateral incisor to the first molar. The mucoperiosteal flap will be elevated; the infraorbital nerve will be preserved and dissected to tunnelize it above the infraorbital foramen. The piriform aperture will be elevated to obtain greater motion of the flap.
After exposure, reduction of the fracture will be performed. Then, the infraorbital rim will be held in anatomical position using titanium plates with a minimum of two screws at each side of each fracture line; after fracture repair, the soft tissue elevated will be restored to its position by sutures.
Patients were followed up on the first day and a week after surgery to asses swelling, CT xray post-operative was done , and follow up after a month to answer the patient satisfaction questionnaire.
The results of this study showed that intraoral approach avoided any permanent complications, that the swelling reached its highest level after a day of surgery, gradually decreased until it disappeared after a month, the numbness resulting from the cause of the fracture gradually faded away, and that the patient satisfaction rate after a month was about 92%.
The percentage of exposure of the fracture during the operation was satisfactory to the surgeon and showed about 90% of the plate that was used to fixation.