title: Correction of late post-traumatic enophthalmos using a tissue expander.
abstract: We described a new technique to correct late post-traumatic enophthalmos using volume augmentation with a tissue expander. A 47-year-old male requiring enucleation with an implant replacement following orbital fracture with the globe injury had been complaining of persistent enophthalmos and cosmetic defect. Computed tomography scan demonstrated significant enophthalmos resulting from a volume discrepancy between an orbita and the orbital contents. To prevent worsening of the prosthesis motility with correction of enophthalmos, projection of the prosthetic globe was postoperatively adjusted by gradual inflation of an expander placed behind the enucleation implant. As a result enophthalmos was appropriately corrected without any change of the prosthesis motility.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan. takhonda@prs.twmu.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Honda
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sakurai
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nakazawa
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Isago
authors.forename: Motohiro
authors.initials: M
authors.lastname: Nozaki
mesh_terms: D016025:Bone Transplantation; D015841:Enophthalmos / Q000000981:diagnostic imaging / Q000601:surgery*; D015353:Eye Enucleation; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009917:Orbital Fractures / Q000601:surgery*; D015626:Tissue Expansion; D014057:Tomography, X-Ray Computed