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Correction of late post-traumatic enophthalmos using a tissue expander
Takashi Honda1, Hiroyuki Sakurai, Hiroaki Nakazawa
1Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan. takhonda@prs.twmu.ac.jp
Annals of Plastic Surgery
|May 25, 2006
Summary
A novel technique uses a tissue expander to correct late post-traumatic enophthalmos. This method effectively restored orbital volume and improved cosmetic appearance without affecting prosthesis motility.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Biomedical Engineering
Background:
- Late post-traumatic enophthalmos can cause significant cosmetic defects and functional issues.
- Enucleation with orbital implant replacement is a common treatment for severe globe injury.
- Volume discrepancy between the orbit and its contents leads to enophthalmos.
Observation:
- A 47-year-old male presented with persistent enophthalmos and cosmetic deformity after enucleation for orbital fracture.
- Computed tomography revealed a substantial volume deficit within the orbit.
- The patient desired correction of enophthalmos while maintaining prosthetic globe motility.
Findings:
- A new technique involving gradual inflation of a tissue expander placed behind the enucleation implant was employed.
- This approach allowed for volume augmentation to correct the enophthalmos.
- Postoperative adjustment of the expander ensured optimal prosthetic globe projection and motility.
Implications:
- This tissue expander technique offers a viable solution for correcting late post-traumatic enophthalmos.
- It addresses both the cosmetic and functional aspects of the condition.
- The method preserves or improves prosthesis motility, enhancing patient satisfaction.
