Silicone spacer repair of medial rectus after iatrogenic orbit fracture. Ophthalmic Plast Reconstr Surg 2012;28(3):e57-8
Date
06/24/2011Pubmed ID
21697756DOI
10.1097/IOP.0b013e318223247dScopus ID
2-s2.0-84861335007 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
A 51-year-old woman underwent endoscopic nasal polypectomy and ethmoidectomy with accidental entry into the right orbit causing enophthalmos and transection of the medial rectus muscle (MR). The repair of a fracture and of a damaged MR is technically challenging, particularly when large portions of bone and muscle are missing. We report a rare case of repair of the bony defect with an implant and reattachment of the MR with a silicone retina band, through a combined transcaruncular and transconjunctival approach. Postoperatively, the patient had residual enophthalmos and strabismus; further surgical options are discussed.
Author List
Krakauer M, Aakalu VK, Davis PL, Ahmad AZAuthor
Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
EndoscopyEnophthalmos
Ethmoid Bone
Female
Humans
Iatrogenic Disease
Magnetic Resonance Imaging
Middle Aged
Nasal Polyps
Oculomotor Muscles
Orbital Fractures
Prostheses and Implants
Silicone Elastomers
Suture Techniques
Tomography, X-Ray Computed
