Enophthalmos: Exploration of Quantitative Treatment With Retro-Orbital Fat Globules Injection

J Craniofac Surg. 2020 Jan/Feb;31(1):54-57. doi: 10.1097/SCS.0000000000005847.

Abstract

Craniomaxillofacial and plastic surgeons are often confronted with patients who present with enophthalmos caused mainly by trauma. In many patients, one-stage reconstruction repairs only the bony orbit, leaving intact the disfiguring enophthalmos. Thus, some filler is needed to restore the normal volume of the orbit. The authors describe a technique to correct such deformation safely and effectively. Data were collected from 30 enophthalmic patients (average age 36.67 ± 11.66 years) who underwent retro-ocular injections of fat globules between August 2014 and July 2018. CT helped identify a safe injection site, and specific CT measurements quantified the volume of fat globules required. There was a significant difference between the preoperative and postoperative values for lateral orbital protrusion (P < .01), superior orbital protrusion (P < .01), and orbital volume (P < .01). Most patients were satisfied with the outcome. There were no significant complications. Injecting fat globules into the retro-orbital area is an effective technique for correcting enophthalmos deformity.

MeSH terms

  • Adolescent
  • Adult
  • Enophthalmos / surgery*
  • Fats / administration & dosage
  • Female
  • Humans
  • Injections
  • Male
  • Middle Aged
  • Orbit / surgery
  • Young Adult

Substances

  • Fats