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Facial Plast Surg 2017; 33(06): 606-612
DOI: 10.1055/s-0037-1608781
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Repair of Posttraumatic Enophthalmos and Extraocular Movement Disorders

Kausar Ali
1   Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Kelly P. Schultz
1   Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Douglas P. Marx
2   Cullen Eye Institute, Baylor College of Medicine, Houston, Texas
,
Larry H. Hollier
1   Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Edward P. Buchanan
1   Department of Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
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Publication History

Publication Date:
01 December 2017 (online)

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Abstract

Enophthalmos, or recession of the eye posteriorly and inferiorly, is a potential sequela of orbital trauma and a source of significant cosmetic and functional concern. Late enophthalmos occurs when early reconstruction of the bony orbit fails to completely restore normal orbital shape and volume, resulting in aesthetic deformity and persistent diplopia. In this article, we provide a framework for evaluation of posttraumatic enophthalmos and outline the surgical principles of secondary repair necessary to optimize globe position. With implementation of proper craniofacial exposure, osteotomy, and orbital reconstruction, surgeons may achieve significant improvement in both the aesthetic and functional sequelae of enophthalmos.

Keywords

enophthalmos - trauma - orbital fracture - implant - secondary repair
 

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