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Current Management of Late Posttraumatic Enophthal ...
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Journal CME Article: Current Management of Late Posttraumatic Enophthalmos Video 4
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Video Summary
The presentation outlines the surgical principles for repairing pure enophthalmos, resulting from isolated internal orbit disruption. The surgical goal is to restore the orbital cavity's normal shape and volume. Key steps include intraoperative traction and duction tests, retrieval of prolapsed soft tissues, and enlarging the defect using a neurosurgical instrument called a cloward for better tissue mobilization. Additional measures, like a transantral approach, aid in accessing difficult areas. The surgery concludes with inserting an implant to restore orbital volume and shape. This method successfully corrects enophthalmos, improving globe position and ocular projection.
Keywords
enophthalmos
orbital surgery
cloward instrument
transantral approach
orbital implant
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