Postoperative enophthalmos correction and secondary midfacial reconstruction after complex orbital-maxillary fracture repair

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.