[An alternative method for the correction of enophthalmos: deep lateral orbital approach]

Both increased orbital volume due to inadequate orbital floor reconstruction and loss of orbital volume may result in enophthalmos. Enophthalmos, vertical dystopia, and "lateral scleral show" deformity were detected in a 33-year-old female patient who presented with periorbital deformities after three operations for the correction of traumatic zygomatic fracture. First, vertical dystopia was repaired by reinforcing the orbital base with cranial bone grafting. Since enophthalmos was not successfully corrected, orbital volume augmentation was performed using the deep lateral wall through an upper eyelid crease incision. The only postoperative complaint was edema which was controlled by application of ice.