Patient with facial injuries
This is a 35-year-old patient from Jharkhand. He was hit by a speeding car which resulted in facial trauma before 2 years. The facial trauma resulted in facial bone fractures. He underwent emergency treatment for cheekbone fracture and lower eyelid correction in Jharkhand. The patient was not happy with the outcome of cheekbone fracture surgery. He complained of depressed cheekbone in the left side of the face. He requested for further cheekbone correction.
Ectropion of eye
He also complained of double vision in one eye (left) and lower eyelid drooping. His lower eyelid was sagging outwards thereby exposing the surface of the inner eyelid. There was noticeable difficulty in closing his left eye. He requested left lower eyelid surgery. The patient’s eye doctor had neglected the need for a second surgery. He advised him to use eye drops every day to prevent drying up of the left eye.
Cheekbone fracture surgery in India
Complete clinical and radiological evaluation done. Oral and Maxillofacial surgeon Dr. SM Balaji diagnosed malunited cheekbone fracture. He had hypoglobus and ectropion of the left eye. There was also a left orbital floor fracture which led to herniation of the orbital contents. Dr. SM Balaji the leading facial reconstructive surgeon in India planned to correct all his problems in one surgery.
Fracture treatment along with ectropion correction
Incision placed through the previous surgical scar. Layers dissected, thereby exposing the previously placed plates and screws. Removal of plates and screws done. The malunited cheekbone fracture was re-fractured. Re-fractured segment elevated and fixed using plates and screws. The floor of orbit reached. The herniated orbital floor contents released. Left orbital floor reconstruction surgery done using Titan Medpor implant. The implant was fixed using screws. Malpositioned lower eyelid released from the scar tissue. The ectropion of the left eye was also corrected using a medial canthal incision.
Surgical outcome
The check bone fracture corrected. The lower eyelid raised and reattached to its normal position. The orbital floor was also reconstructed successfully. The patient was happy with the outcome of the surgery.