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Posttraumatic enophthalmos: injuries and outcomes
Yong-Ha Kim1, Ju-Ho Ha, Tae-Gon Kim
1Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea. yhkim@med.yu.ac.kr
The Journal of Craniofacial Surgery
|July 11, 2012
Summary
Delayed correction of posttraumatic enophthalmos can yield good results, especially for mild to moderate cases. Prevention through initial careful reconstruction is key to avoiding this condition.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Trauma Surgery
Background:
- Posttraumatic enophthalmos can result from orbital wall fractures.
- Inadequate initial surgical repair is a common cause.
- Delayed correction aims to restore orbital structure and function.
Purpose of the Study:
- To retrospectively evaluate outcomes of delayed correction for posttraumatic enophthalmos.
- To identify factors influencing surgical success.
Main Methods:
- Retrospective review of 85 patients undergoing delayed correction.
- Analysis of correction period, causes, injury type, defect site, and surgical methods.
- Assessment of aesthetic and functional results.
Main Results:
- Most patients achieved good aesthetic and functional outcomes.
- Average delay for correction was 20.9 months.
- Enophthalmos improved from 3.16 mm to 1.29 mm.
- Inadequate initial repair was the most frequent cause.
Conclusions:
- Careful primary reconstruction can prevent most posttraumatic enophthalmos.
- Delayed correction is feasible with proper surgical techniques.
- Better results seen in mild/moderate cases without associated fractures.
