
Postoperative enophthalmos correction and secondary midfacial reconstruction after complex orbital-maxillary fracture repair
Author(s) -
Gordon S. K. Yau,
Aaron T. K. Chu,
Jacky Lee,
Byron T.H. Chu,
Can Y. F. Yuen
Publication year - 2015
Publication title -
asian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 5
eISSN - 2452-0691
pISSN - 1560-2133
DOI - 10.35119/asjoo.v14i2.100
Subject(s) - enophthalmos , medicine , facial symmetry , surgery , orbital fracture , orthodontics , diplopia
Reconstruction of orbital wall and midfacial fractures pose a great challenge to oculoplastic surgeons as it may be associated with persistent post-operative enophthalmos, ocular misalignement, and facial asymmetry, requiring secondary reconstructive procedures. Cosmetically unacceptable post-operative enophthalmos should be revised. Several methods have been described including revision of the primary surgical implant or placement of additional implants. In the following case report, we describe a simple technique through a single transconjunctival incision to manage post-operative enophthalmos and secondary midfacial asymmetry following primary repair of a complex orbital-maxillary fracture.