Delayed reconstruction of posttraumatic facial deformities
10.5124/jkma.2018.61.12.740
- Author:
Yong Ha KIM
1
Author Information
1. Department of Plastic & Reconstructive Surgery, Yeungnam University Hospital, Daegu, Korea. kimyon@ynu.ac.kr
- Publication Type:Original Article
- Keywords:
Orbital fractures;
Facial bones;
Enophthalmos
- MeSH:
Blepharoplasty;
Cicatrix;
Congenital Abnormalities;
Emergencies;
Enophthalmos;
Facial Bones;
Humans;
Optic Nerve;
Orbit;
Orbital Fractures;
Plastics;
Rhinoplasty;
Surgeons
- From:Journal of the Korean Medical Association
2018;61(12):740-748
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Posttraumatic facial deformities (PTFDs) are very difficult to correct, and if they do occur, their impact can be devastating. It may sometimes be impossible for patients to return to normal life. The aim of surgical treatment is to restore the deformed bone structure and soft tissue to create symmetry between the affected side and the opposite side. In the process of managing PTFD, correcting enophthalmos is one of the most challenging aspects for surgeons because of difficulties in overcoming the scar tissue and danger of injuring to the optic nerve. In this article, surgical options for reconstruction of the medial wall, floor, lateral wall, and roof of the orbit are described. To optimize aesthetic improvement, additional cosmetic procedures such as facial contouring surgery, blepharoplasty and rhinoplasty can be used. Plastic surgeons should join emergency trauma teams to implement an overall treatment plan containing rational strategies to avoid or minimize PTFD.
