Korean J Otorhinolaryngol-Head Neck Surg.  2016 Apr;59(4):323-326. 10.3342/kjorl-hns.2016.59.4.323.

Correction of Post-Traumatic Enophthalmos and Temporal Depression Using Rib Cartilage and Fat

• Kim YJ
• Kim SB
• Kim JY
• Kwon JH

• KMID: 2162268
• DOI: http://doi.org/10.3342/kjorl-hns.2016.59.4.323

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.

Keyword

Autologous transplantation; Enophthalmos

MeSH Terms

Abdominal Fat
Accidents, Traffic
Anesthesia, General
Anesthesia, Local
Cartilage*
Depression*
Diplopia
Enophthalmos*
Facial Bones
Humans
Orbit
Ribs*
Transplantation, Autologous