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A Report of 38 Cases

Robert H. Mathog, MD; Robert P. Hillstrom, MD; Frank A. Nesi, MD

Arch Otolaryngol Head Neck Surg. 1989;115(2):169-178.

Abstract
• Enophthalmos, hypophthalmos, and diplopia are complications of orbital injury. This article reviews the causes of these sequelae, describes a method of strategic implantation of bone grafts to the orbit (and malar bone), and reports the long-term (six months to eight years) results in 38 cases. As a result of bone grafting, all but two patients had a correction of the enophthalmos to within 1 to 2 mm of the opposite eye. Of the 20 patients with diplopia, 15 had correction, and an additional four had an improvement of diplopia so it occurred in only one field of gaze. Of the 22 patients with grafts to the malar bone, 16 were thought to have good to excellent results; however, six developed some degree of reabsorption at the graft site. No patients had any decrease in vision. The advantages and disadvantages of the surgical procedure are described and compared with other methods.

(Arch Otolaryngol Head Neck Surg 1989;115:169-178)

Author Affiliations
From the Departments of Otolaryngology (Drs Mathog and Hillstrom) and Ophthalmology (Dr Nesi), Harper-Grace and Detroit Receiving Hospitals, Wayne State University, Detroit.

Footnotes
Accepted for publication Oct 21, 1988.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, April 28, 1988.

Reprint requests to Department of Otolaryngology, Wayne State University, 540 E Canfield (5E-UHC), Detroit, MI 48201 (Dr Mathog).

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