Reconstruction of a Complex Orbital Injury

A complex case of maxillofacial trauma that led to a comminuted/fragmented fracture of the orbit-zygomatic complex (OZC) and a globe injury that caused its enucleation. 49-year-old women referred from the ambulance department with a story of an injury that resulted in fractures of the lateral and inferior margins and orbital floor, causing loss of the internal dimensions of orbital and facial asymmetry. The case was evaluated and a treatment plan was set based on CT-scan. It was decided to subject the patient to an open reduction, internal fixation of orbital fractures, and orbital exenteration. Then, after the tissue has healed, an artificial eye is replaced. Depending on the precise planning, we were able to reconstruct the orbital shape and volume with titanium plates and mesh based on intact bone pieces. Thus, preparing the orbital socket to receive the artificial eye ball and repair the external contour face shape well.