Autologous transplantation for treatment of dermal-fat mixed in 1 case enophthalmos.docVIP

 PAGE \* MERGEFORMAT 4 Autologous transplantation for treatment of dermal-fat mixed in 1 case enophthalmos [Keywords:] fat Enophthalmos deformity repair a variety of methods, we used autologous dermal fat graft treatment of enophthalmos mixed in 1 case, the effect is satisfactory, the report is as follows. 1 Clinical data Female patients, aged 40, of the left maxillary left maxillary keratocysts line 2 years after total resection has done maxillary denture restoration of alveolar bone of the arc. Because of the left facial depression affects the appearance, binocular diplopia, to clinic for treatment. examination: the left side of the facial depression, left enophthalmos, left lower eyelid depression, the left lower eyelid skin adhesion, uneven, turn left outside the restricted movement, diplopia. three-dimensional CT showed: absence of left maxillary , the left inferior orbital wall soft tissue is weak, the left eye down the contents. surgery: 3mm from the next lower eyelid to the outer canthus canthus incision, opening flap into the orbital septum, the orbital fat to the orbital floor under the full separation external to the cheekbone, the inside to the lacrimal bone, the abdomen was cut to fit the strip leather trimmed the size of a three-tier pagoda shaped folded into the separation compartment placed under the eye, so that when viewed from the left side of the pupil level slightly higher than the right side of the pupil, the leather and tears, respectively, with the zygomatic bone periosteum fixed, layered wound closure. six months after the referral of patients, significantly improved symptoms of diplopia, depression requires treatment of lower eyelid deformity. in the extraction of fat particles injected into the abdominal left lower eyelid. follow-up 6 months, improve the outward appearance was satisfactory outcome. 2 Discussion Maxilla is the importance of supporting the orbital contents of the bone structure, wide resection of m