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ROBERT H. MATHOG, MD; GREGORY S. PARSONS, MD
Detroit, Mich

Arch Otolaryngol Head Neck Surg. 1989;115(5):634.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—In our discussion of the problem of enophthalmos, we referred to the literature and provided a description of how the various supporting ligaments affect the position of the globe. We also noted that the volume-to-content relationships of the orbit are affected by swelling and cicatrization, and, to various degrees, by neuromuscular excitation. Obviously, under such conditions, the degree of orbital volume changes cannot be fully and completely translated into changes in soft-tissue distribution, and we never did presume this.

On the other hand, there is a definite and real potential of enophthalmos as one moves an orbital wall away from the center of the orbit. The in vitro model describes what can occur, and, to our way of thinking (which corresponds also to our clinical experience), changes in wall position can potentially lead to similar changes in globe position.

Our approach for orbital floor exploration is more preventive . . . [Full Text PDF of this Article]

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