Correction of Post-Traumatic Enophthalmos and Temporal Depression Using Rib Cartilage and Fat.
10.3342/kjorl-hns.2016.59.4.323
- Author:
Yeong Joon KIM
1
;
Seo Bin KIM
;
Joo Yeon KIM
;
Jae Hwan KWON
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. entkwon@hanmail.net
- Publication Type:Case Report
- Keywords:
Autologous transplantation;
Enophthalmos
- MeSH:
Abdominal Fat;
Accidents, Traffic;
Anesthesia, General;
Anesthesia, Local;
Cartilage*;
Depression*;
Diplopia;
Enophthalmos*;
Facial Bones;
Humans;
Orbit;
Ribs*;
Transplantation, Autologous
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2016;59(4):323-326
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Posttraumatic enophthalmos is one of the common complications of facial bone fracture, leading to serious functional and esthetic sequele. However, the correction of this complication is a challenging procedure. A 62-year old patient was injured in a traffic accident, resulting in enophthalmos of the right orbit, which had been uncorrected by a previous correction surgery. The patient showed prominent enophthalmos, ptosis of right orbit, and temporal area depression without complaining diplopia. Under general anesthesia, the correction of enophthalmos of right orbit was done using diced coastal cartilage and an absorbable mesh plate. The depressed right temporal and the frontal area were reinforced using harvested abdominal fat. Three months after the surgery, additional fat injection was introduced to supplement under local anesthesia. Currently, 12 months after the surgery, the patient is in stable state without any complications.
