Ophthalmic Plastic and Reconstructive Surgery · 2007 · 24 citations · 2 references
MedicineOphthalmologySurgeryMaxillofacial TraumaOcular TraumaOphthalmic SurgeryOrbital AnatomyOrbital FracturesOrbital SurgeryOrbital TraumaFracturesMaxillary Sinus SurgeryOrbital Floor Fracture RepairOrbital Floor InvolvementOrbital Floor RepairOrbital Fracture RepairOrbital Trauma RepairSubluxation Injuries
Fractures of the orbit most commonly involve the orbital floor, and enophthalmos is a common sign of orbital fractures. Complete globe dislocation in the maxillary sinus, however, has rarely been reported. Herein we report on an 18-year-old man referred to us 1 week following a car accident. At presentation, the globe was not seen within the right orbit. CT revealed a large orbital floor fracture with globe dislocation in the right maxillary sinus. The patient underwent repair of the fracture using a Medpor implant together with repositioning of the globe. Preoperative vision was no light perception, which remained unchanged during follow-up.
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