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A Pitfall of Reconstruction for Severe Enophthalmos: Role of the Posterior Wall of the Maxillary Sinus-2

Sakamoto, Yoshiaki MD*; Nakajima, Hideo MD*; Tamada, Ikkei MD; Kasai, Shogo MD*; Kishi, Kazuo MD*

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1351-1353
doi: 10.1097/SCS.0b013e31821c9435
Clinical Studies

This report describes a pitfall of reconstruction for severe enophthalmos after time has passed following traumatic injury. In severe cases, hypoglobus may be refractory to reconstructive surgery. The posterior wall of the maxillary sinus is sometimes implicated in severe enophthalmos. Thus, we considered that reconstruction of this posterior wall is critical for improvement in hypoglobus. In addition, a satisfactory contour and improvement in hypoglobus were maintained postoperatively.

From the *Department of Plastic and Reconstructive Surgery, Keio University School of Medicine; and †Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

Received August 22, 2010.

Accepted for publication September 30, 2010.

Address correspondence and reprint requests to Yoshiaki Sakamoto, MD, Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD