Related Experiment Video
Updated: Aug 6, 2025
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
286
[Large foreign bodies inside the orbit and maxillary sinus (clinical observation)]
M B Gushchina1,2, R O Daminov1, D S Afanasyeva3
1Central Research Institute of Dental and Maxillofacial Surgery, Moscow, Russia.
Vestnik Oftalmologii
|March 16, 2023
Summary
Orbital trauma can cause severe eyelid and orbital wall defects. Multidisciplinary surgical intervention successfully reconstructed the orbit and removed foreign bodies, though complete recovery is not always possible.
Area of Science:
- Ophthalmology
- Maxillofacial Surgery
- Otorhinolaryngology
Background:
- Orbital traumas present complex challenges for specialists.
- This case highlights severe consequences including eyelid deformity, enophthalmos, orbital wall defects, and foreign bodies.
Observation:
- A patient presented with cicatricial deformity, trichiasis, keratopathy, enophthalmos, a posttraumatic inferior orbital wall defect, and multiple intraorbital and maxillary sinus foreign bodies.
- Examination utilized conventional ophthalmological methods and multislice computed tomography with 3D-reconstruction.
Findings:
- A two-stage surgical approach was employed, involving eyelid margin reconstruction, trichiasis surgery, and lateral canthoplasty in the first stage.
- The second stage involved foreign body removal via combined subciliary and endonasal access, followed by mandibular autograft reconstruction of the inferior orbital wall.
Implications:
- Radiological examination is crucial for detecting occult injuries in orbital trauma.
- Successful management necessitates a multidisciplinary team approach, integrating ophthalmology, otorhinolaryngology, and maxillofacial surgery.
- Patients must be counseled regarding the potential for incomplete functional and aesthetic recovery.
