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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2017, Number 3

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Rev Mex Cir Bucal Maxilofac 2017; 13 (3)

Surgical management of post-traumatic enophthalmos: reconstruction for a total loss of the orbital floor

González BJ, Vidriales GVD, Hernández CPI, Araoz MV

Language: Spanish
References: 15
Page: 88-94
PDF size: 277.94 Kb.


ABSTRACT

Background: The post-traumatic position of the eyeball within the orbit is a primary indicator of the severity of orbital lesions and the success of Surgical Reduction. Enophthalmos is the posterior displacement of one eyeball in the anteroposterior plane in relation to the other, preserving the normal eyeball volume. Material and methods: We present the management of a case of post traumatic enophthalmos of seven months of evolution evaluated and treated by the Maxillofacial Surgery service of the UMAE. «Dr. Victorio de la Fuente Narváez» with a defect of the orbital floor that compromised its entire surface, treated by placing a «bridge» made from a titanium mesh and supported by blocks of hydroxyapatite.Conclusion: The delicate handling of the tissues and their correct replacement in conjunction with the selection of a reconstruction material that meets the mechanical and physiological demands allow the restoration of extensive orbital defects involving one or more orbital surfaces both partially and totally.


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