Current Management of Late Posttraumatic Enophthalmos | Journal CME Article-Journal CME Article: Current Management of Late Posttraumatic Enophthalmos Video 6

Journal CME Article: Current Management of Late Posttraumatic Enophthalmos Video 6

Video Transcription

Video Summary

The presentation outlines the principles of repairing impure enophthalmos, characterized by disruption of the orbital rim affecting various segments. A clinical case illustrates the process: the patient has profound enophthalmos due to unrepaired fractures. Treatment involves freeing and mobilizing soft tissues, conducting osteotomies, and restoring bone positions to achieve a normal orbital aperture. Techniques include using a coronal approach to access and osteotomize the zygoma and nasoethmoid segments. The procedure restores the aperture, zygoma projection, and orbital volume using a custom floor implant, correcting both enophthalmos and hypoglobus, and aligning facial symmetry.

Keywords

enophthalmos

orbital rim repair

osteotomies

coronal approach

facial symmetry