Department of Otolaryngology–Head and Neck Surgery
Geisinger Medical Center
100 N Academy Ave, MC 13-33
Danville, PA 17822
I read with interest the excellent article on the surgical technique that Goldberg et al1 use for the correction of late enophthalmos globe deformities. The key to the evaluation in such cases is the deepened upper eyelid sulcus that can result with unrepaired or inadequately repaired orbital fractures. The authors' relatively simple approach, using an upper tarsal incision and placement of high-density polyethylene implants (Medpor; Porex, Newnan, Ga) to the deep lateral wall, is an excellent concept, as it places implant material deep to the retropositioned globe, thus pushing it forward.
Frodel JL. Orbital Volume Augmentation for Late Enophthalmos. Arch Facial Plast Surg. 2004;6(1):63. doi:10.1001/archfaci.6.1.63