title: Repositioning of a traumatically displaced globe with maxillary antrostomy: review of the literature and treatment recommendations.
abstract: Complete dislocation of the globe, inferiorly into the maxillary sinus, medially into the ethmoid sinus, or superiorly into the anterior cranial fossa, can occur with significant blunt facial trauma. The degree of injury to the globe, its adnexal structures, and the optic nerve is dependent on the extent of the dislocation. Complete traumatic subluxation of the globe into the maxillary sinus is associated with severe injury to the periocular structures and represents a challenging and unique reconstructive process rarely encountered in published studies. The present case report represents only the 15th reported case of complete orbital prolapse into the maxillary sinus. Controversy exists regarding the definitive treatment of traumatic globe dislocations, the risk of sympathetic ophthalmia (SO), the sequela of postenucleation socket syndrome, and prophylactic steroid treatment to decrease the incidence of SO and traumatic optic neuropathy.
authors.affiliation: Private Practice, Lakewood Oral and Maxillofacial Surgery Specialists, Lees Summit, MO; Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Missouri-Kansas City Medical Center, Kansas City, MO. Electronic address: christopherhaggerty@hotmail.com.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Haggerty
authors.forename: Pat
authors.initials: P
authors.lastname: Roman
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005131:Eye Injuries / Q000601:surgery*; D005143:Eyelids / Q000293:injuries; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D022125:Lacerations / Q000601:surgery; D008297:Male; D008443:Maxillary Sinus / Q000293:injuries* / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery; D009801:Oculomotor Muscles / Q000293:injuries; D020221:Optic Nerve Injuries / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery; D011391:Prolapse; D019651:Plastic Surgery Procedures / Q000379:methods*; D012887:Skull Fractures / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000601:surgery*