Deprecated: Automatic conversion of false to array is deprecated in /home/smbalnoi/public_html/wp-content/plugins/seo-by-rank-math/includes/helpers/class-wordpress.php on line 281
  • Blog
  • Contact Us
advanced divider
Home - Blog - Surgery - RTA – Malunited Very old Fracture of Maxilla (Upper Jaw) and Zygoma (Cheekbone) with Enophthalmos Correction Surgery

RTA – Malunited Very old Fracture of Maxilla (Upper Jaw) and Zygoma (Cheekbone) with Enophthalmos Correction Surgery

Table of Contents

Young man with residual facial deformities from motor vehicle accident

This young man from Indore, Madhya Pradesh, was riding his bike when he collided with a car 1.5 years back. He suffered facial fractures involving the maxilla, zygoma and orbital region. The patient underwent surgical correction at a local hospital after the accident. This surgery left him with residual deformities. These included an anterior crossbite and a sunken right zygoma with enophthalmos.

The patient presents to our hospital for specialized facial deformity correction

Dr SM Balaji, facial deformity correction specialist, examined the patient. He ordered 3D CT scan and other imaging studies. There were many plates seen from the previous surgery. The maxilla was in a retruded position. He recommended advancing the maxilla forward with a Le Fort I osteotomy for crossbite correction. Other recommended surgeries were refracture of the zygoma with plate fixation. Release of herniated fat trapped in the right eye with Titanium mesh placement was also recommended for enophthalmos. The patient consented to surgery.

Patient undergoes correction of anterior crossbite with Le Fort I maxillary advancement osteotomy

Under general anesthesia, a buccal vestibular incision exposed the old maxillary plates. These were then removed and the maxilla advanced forward with a Le Fort I advancement osteotomy. This resulted in correction of the anterior crossbite. Four L-shaped four holed plates were utilized to achieve this.

Enophthalmos and zygomatic depression correction done for the patient

The enophthalmos and depression in the zygoma were then addressed. A right lateral canthal incision was first made. This was then followed by a right transconjunctival incision. Dissection down into the floor of the orbit exposed the herniated fat under the eye, which was freed. An old plate from the previous surgery was then removed through the lateral canthal incision.

The zygoma was then refractured and repositioned with new plates. This resulted in correction of the depressed zygoma. The enophthalmos was then addressed. A Titanium mesh with Medpor was used to correct it. The Titanium mesh was then fixed with screws to the lower orbital rim. All incisions were then closed with sutures and the patient extubated.

The patient expressed complete satisfaction at the results of the surgery before final discharge.

Surgery Video

Make An Enquiry
Recent Posts
Mandibular Osteotomy for Long Lower Jaw Correction

Complications Arising in Later Life in Cleft PatientsPatients born with a cleft deformity undergo a lengthy rehabilitation process. The cleft deformity can give rise to a myriad of issues for them. All these issues have to be addressed surgically. They

Read More
January 28, 2024
Mandibular Osteotomy Orthognathic Surgery
Closed Rhinoplasty for Cleft Nasal Deformity Correction

Closed Rhinoplasty for Cleft Nasal Deformity Correction Commonest Congenital Deformities Seen in Newborn InfantsThe cleft

Read More
January 17, 2024
Cleft Lip Surgery
Transforming Smiles: A Journey through Anterior Maxillary Osteotomy

Facial Esthetic Surgery - Anterior Maxillary Osteotomy with Superior Positioning Introduction:In the pursuit of the

Read More
January 9, 2024
Orthognathic Surgery
Dr SM Balaji

Dr. S.M. Balaji is a renowned and highly skilled oral and maxillofacial surgeon known for his expertise in complex jaw surgeries and craniofacial procedures.

Make An Enquiry
Categories
Recent Posts
Mandibular Osteotomy for Long Lower Jaw Correction
Mandibular Osteotomy for Long Lower Jaw Correction
Closed Rhinoplasty for Cleft Nasal Deformity Correction
Closed Rhinoplasty for Cleft Nasal Deformity Correction
Transforming Smiles: A Journey through Anterior Maxillary Osteotomy
Transforming Smiles: A Journey through Anterior Maxillary Osteotomy
Lower Jaw Reconstruction for Juvenile Ossifying Fibroma
Lower Jaw Reconstruction for Juvenile Ossifying Fibroma