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DOI: 10.5999/aps.2012.39.1.11
Correction of Posttraumatic Enophthalmos
Management of posttraumatic enophthalmos can present as a challenge to the reconstructive surgeon, particularly in cases of late presentation. This article reviews the pertinent anatomy of the orbit, diagnostic modalities, indications for surgery, and surgical approaches as they relate to the treatment of posttraumatic enophthalmos. Internal orbital reconstruction has evolved to an elegant procedure incorporating various biologic or alloplastic implants, including anatomical pre-bent implants. Successful repair of late enophthalmos has been demonstrated in multiple recent studies and is likely related to the precision with which orbital anatomy can be restored.
Publication History
Received: 30 December 2011
Accepted: 05 January 2012
Article published online:
01 May 2022
© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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References
- 1 Bite U, Jackson IT, Forbes GS. et al. Orbital volume measurements in enophthalmos using three-dimensional CT imaging. Plast Reconstr Surg 1985; 75: 502-508
- 2 Manson PN, Clifford CM, Su CT. et al. Mechanisms of global support and posttraumatic enophthalmos: I. The anatomy of the ligament sling and its relation to intramuscular cone orbital fat. Plast Reconstr Surg 1986; 77: 193-202
- 3 Manson PN, Grivas A, Rosenbaum A. et al. Studies on enophthalmos: II. The measurement of orbital injuries and their treatment by quantitative computed tomography. Plast Reconstr Surg 1986; 77: 203-214
- 4 Smith RR, Blount RL. Blowout fracture of the orbital roof with pulsating exophthalmos, blepharoptosis, and superior gaze paresis. Am J Ophthalmol 1971; 71: 1052-1054
- 5 Catone GA, Morrissette MP, Carlson ER. A retrospective study of untreated orbital blow-out fractures. J Oral Maxillofac Surg 1988; 46: 1033-1038
- 6 Hawes MJ, Dortzbach RK. Surgery on orbital floor fractures: influence of time of repair and fracture size. Ophthalmology 1983; 90: 1066-1070
- 7 Wilkins RB, Havins WE. Current treatment of blow-out fractures. Ophthalmology 1982; 89: 464-466
- 8 Tessier P. Inferior orbitotomy: a new approach to the orbital floor. Clin Plast Surg 1982; 9: 569-575
- 9 Glassman RD, Manson PN, Petty P. et al. Techniques for improved visibility and lid protection in orbital explorations. J Craniofac Surg 1990; 1: 69-71
- 10 Chen NT, Glowacki J, Bucky LP. et al. The roles of revascularization and resorption on endurance of craniofacial onlay bone grafts in the rabbit. Plast Reconstr Surg 1994; 93: 714-722
- 11 Glassman RD, Manson PN, Vanderkolk CA. et al. Rigid fixation of internal orbital fractures. Plast Reconstr Surg 1990; 86: 1103-1109
- 12 Rubin PA, Shore JW, Yaremchuk MJ. Complex orbital fracture repair using rigid fixation of the internal orbital skeleton. Ophthalmology 1992; 99: 553-559
- 13 Zhang Y, He Y, Zhang ZY. et al. Evaluation of the application of computer-aided shape-adapted fabricated titanium mesh for mirroring-reconstructing orbital walls in cases of late posttraumatic enophthalmos. J Oral Maxillofac Surg 2010; 68: 2070-2075
- 14 He D, Li Z, Shi W. et al. Orbitozygomatic fractures with enophthalmos: analysis of 64 cases treated late. J Oral Maxillofac Surg 11.07.2011; [Epub]. DOI: 10.1016/j.joms.2011.02.041.
- 15 Manson PN. Facial fractures. In: Mathes SJ. Plastic surgery. 2006. Philadelphia, PA: Elsevier; 285-286
- 16 Nishi Y, Kiyokawa K, Watanabe K. et al. A surgical treatment of severe late posttraumatic enophthalmos using sliced costal cartilage chip grafts. J Craniofac Surg 2006; 17: 673-679
- 17 Lee JW. Treatment of enophthalmos using corrective osteotomy with concomitant cartilage-graft implantation. J Plast Reconstr Aesthet Surg 2010; 63: 42-53
- 18 Cervelli D, Gasparini G, Moro A. et al. Retrobulbar lipofilling to correct the enophthalmos. J Craniofac Surg 2011; 22: 1918-1922
- 19 Bernardino CR. Correction of late posttraumatic enophthalmos using a tissue expander. Ann Plast Surg 2006; 57: 477
- 20 Synthes. MatrixORBITAL: anatomical reconstruction of medial wall and orbital floor fractures [Internet]. 2011. West Chester, PA: Synthes; cited 2011 Dec 23 Available from: https://www.synthes.com/MediaBin/International%20DATA/036.000.496.pdf