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January 1989

Surgical Correction of Enophthalmos and Diplopia

Author Affiliations

Oakland, Calif

Arch Otolaryngol Head Neck Surg. 1989;115(1):13. doi:10.1001/archotol.1989.01860250015006

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At the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, Drs Robert Hillstrom, Robert H. Mathog, and Frank A. Nesi, Wayne State University, Detroit, described the surgical correction of enophthalmos and diplopia in 38 cases of facial trauma. Injury to the orbit can cause enophthalmos, hypophthalmos, and diplopia.

All cases were treated by grafting hip bone subperiosteally within the orbit to increase orbital volume to correct enophthalmos or to shift the globe superiorly within the orbit to correct hypophthalmos. Infraciliary, lateral brow, and medial canthal incisions were utilized to allow a 280° circumferential subperiosteal dissection that spared only the region of the optic and ophthalmic nerves.

Bone was placed inferiorly to correct hypophthalmos and entrapment of the inferior rectus muscle. For correcting enophthalmos, a graft was placed laterally and superiorly, but posterior to the globe's equator. Also, some cases required a graft

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