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Late posttraumatic enophthalmos: a correctable deformity?

H K Kawamoto

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    Summary
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    This study presents a craniofacial surgery method to correct long-standing enophthalmos (sunken eye) in patients with a seeing eye. The technique allows for permanent correction using the patient

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    Area of Science:

    • Oculoplastics
    • Craniofacial Surgery
    • Ophthalmic Plastic Surgery

    Background:

    • Long-established posttraumatic enophthalmos presents a correctable deformity.
    • Correction of enophthalmos is crucial for restoring orbital aesthetics and function.

    Purpose of the Study:

    • To describe a surgical method for permanent correction of traumatic enophthalmos.
    • To highlight the advantages of a craniofacial surgical approach for enophthalmos correction.

    Main Methods:

    • Utilizing principles of craniofacial surgery for wide exposure.
    • Free mobilization of the displaced zygoma.
    • Direct inspection and repair of orbital defects using autogenous material.

    Main Results:

    • The described method allows for direct inspection of the orbital defect.
    • Restoration of balance between orbital contents and bony surroundings.
    • Permanent correction of traumatic enophthalmos was achieved.

    Conclusions:

    • A craniofacial surgical approach offers significant advantages for correcting traumatic enophthalmos.
    • The technique enables permanent correction using autogenous material.
    • This method provides a viable solution for long-established enophthalmos with a seeing eye.