Orbital volume augmentation to address enophthalmos and hollowing of the superior sulcus has been described with a variety of materials and from a variety of approaches.1-4 A common location for volume augmentation is the inferomedial orbital wall; this surface is often the one that was expanded related to orbital trauma, and it is easily accessed through hidden conjunctival or caruncular incisions.
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References
1.
PuttermanAM, MillmanAL. Custom orbital implant in the repair of late posttraumatic enophthalmos. Am J Ophthalmol. 1989; 108:153-159.
2.
LeeJ. Preplanned correction of enophthalmos using diced cartilage grafts. Br J Plast Surg. 2000; 53:17-23.
BilykJR, RubinPA, ShoreJW. Correction of enophthalmos with porous polyethylene implants. Int Ophthalmol Clin. 1992; 32:151-156.
5.
GoldbergRA, KimAJ, KerivanKM. The lacrimal keyhole, orbital door jamb, and basin of the inferior orbital fissure: three areas of deep bone in the lateral orbit. Arch Ophthalmol. 1998; 116:1618-624.