A Paradigm Shift in Correcting Medial Orbital Fracture–Related Enophthalmos

• DOI: 10.1097/scs.0b013e31824dbda4
• Publication Date: 2012-05-05T15:20:24Z
• Authors: Colton H. McNichols; Daniel A. Hatef; James F. Thornton; Patrick D. Cole; C. Alejandra Garc...; Larry H. Hollier
• Keywords: Enophthalmos; Orbital Fracture; Orbit (dynamics); Medial wall

Posttraumatic enophthalmos resulting from medial orbital wall fractures presents a complex challenge. Access to this area through traditional incisions is limited, making visualization of the fracture site difficult. This can be ameliorated by transcaruncular approach, but with potential for complications both access and reconstructive materials. The authors sought new technique where correction would based on augmenting soft tissue volume, rather than reducing volume bony cone. was successfully accomplished using porous high-density polyethylene wedges. In an effort increase overall knowledge technique, retrospective review undertaken.A chart undertaken examine senior authors' (J.F.T. L.H.H.) experience lateral approach address fracture-related enophthalmos, aided wedges volume. relevant literature reviewed reported here.Three patients post-medial were treated place wedges; adequately corrected in these patients.Porous placed into orbit small incision reverse secondary loss after fractures. Current techniques reconstruction typically focus reduction volume; focuses augmentation