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Traumatic Displacement of the Globe into the Maxillary Sinus: Case Report  

Lim, Chan Soo (Department of Plastic & Reconstructive Surgery, Dankook University Hospital)
Kang, Dong Hee (Department of Plastic & Reconstructive Surgery, Dankook University Hospital)
Publication Information
Archives of Plastic Surgery / v.34, no.4, 2007 , pp. 524-527 More about this Journal
Abstract
Purpose: Globe displacement due to a blowout fracture is a rare clinical phenomenon. The authors present reduction of a globe displacement to the maxillary sinus due to trauma suffered in a fall and the reconstruction of a large defect left in the medial and inferior orbit. Methods: A 39-year-old male patient was unable to open his left eye after being struck on the periorbital area by a metal edge. Laceration was not noted in that area but we were unable to observe the intraorbital globe. A facial computed tomography (CT) scan showed that the globe was displaced through the maxillary sinus. A transconjunctival approach was used to access the infraorbital margin and the globe entrapped in the inferior margin of the orbit was successfully reduced. A large defect in the medial and inferior orbit was reconstructed using a graft from the iliac bone. Results: In 5 months after the operation, no atrophy of the globe was seen. Both sides retained a similar shape. A satisfactory functionality outcome in terms of improved extraocular muscle movement, and a satisfactory aesthetical outcome were achieved. Conclusion: The authors report the reduction of a globe displaced to the maxillary sinus following a fall and the reconstruction of the large defect left in the medial and inferior orbit.
Keywords
Globe displacement; Orbital wall defect;
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