This is a 23-year-old male from Nagpur. He presented with complaints of diplopia in his right eye and a depression on the right side of the face. He has a history of RTA with emergent treatment of zygomaticomaxillary complex fracture. He was not happy with the outcome of the surgery. His diplopia had not been corrected by the surgery. He then searched the net for the best facial deformity correction surgeon. His search led him straight to our hospital.
Dr SM Balaji examined the patient. The patient had diplopia of the right eye. The diplopia was present only at the extremities of gaze. A 3D CT scan revealed a depressed and malunited right zygoma. Maxillofacial Surgeon Dr SM Balaji planned the treatment. He planned to correct the depression by refracturing the zygoma.
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- Frontal view showing depressed right side of the face
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- CT scan showing herniation of the right orbital contents
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- 3DCT scan showing depressed right zygoma
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- Eversion of the right lower eyelid following transconjunctival incision
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- Right orbital floor reconstruction with Medpor Titan mesh
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- Right zygoma fracture elevated and fixed using Ti plates and screws
The right malunited zygoma was first exposed by a vestibular approach. The right zygoma was then refractured, elevated and fixed using Ti. plates and screws. The right orbital floor was then reconstructed with a Titan Medpor mesh. This was also fixed using titanium screws. He was very happy with the results of the surgery.
