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Before and After Photos

  • Before Photo-Orbital Trauma Patient 6
    After Photo-Orbital Trauma Patient 6

    This 21-year-old female sustained a large left zygomatico-maxillary complex (ZMC) fracture and jaw fracture from a car accident. The fracture involved many facial bones including her orbital floor. She had difficulty with opening of her mouth, eating, and had early signs of a sunken eye appearance (termed enophthalmos) due to the orbital floor fracture. She underwent repair of her zygomatico-maxillary complex (ZMC) fracture, orbital fracture, and mandible fracture using a series of implants and plates. She healed well after surgery with an excellent cosmetic and function result. Post-operative photo was taken nearly 3 years after her surgery.

    Preoperative diagnosis: Left zygomatico-maxillary complex (ZMC) fracture, left orbital floor fracture.

    Procedure performed: Exploration and repair of the leftzygomatico-maxillary complex (ZMC) fracture, orbital floor fracture, and mandible fracture.

  • Before Photo-Orbital Trauma Patient 5
    After Photo-Orbital Trauma Patient 5

    This 23 year old female underwent a left orbital floor fracture from a softball injury. The orbital floor fracture was large and involved over 80% of the floor on which the eye rests on. Surgery was performed to repair the fracture. A Medpor with integrated titanium mesh implant was used to repair the fracture. Minimally invasive technique was performed such that were no visible scars. She did well and made a complete recovery shortly after surgery. Please note that the yellow stain in the pre-operative photo is actually a yellow-colored drop used to check for any scratches on the eye during the exam process.

    Preoperative diagnosis: Left orbital floor fracture.

    Procedure performed: Exploration and repair of left orbital floor fracture using Medpor-Titanium Mesh implant.

  • Before Photo-Orbital Trauma Patient 4
    After Photo-Orbital Trauma Patient 4

    Preoperative photo of a 17 year-old male with significant left orbital floor and zygomatic-maxillary complex (ZMC) fracture. This is a fracture that involves not only the floor of the orbit (which is what the eyeball rests on in the orbit), but also part of his left midface. This type of fracture often needs to be repaired in order to repair the following problems:
    1) double vision
    2) eye pain in different gazes of movement
    3) enophthalmos (sinking of eye) due to the trauma
    4) difficulty in opening the mouth due to the ZMC fracture
    5) cosmetic deformity

    This particular patient had double vision when he looked up and developed significant cosmetic deformity (loss of midface volume and prominence) in addition to enophthalmos of the eye.

    Postoperative photo (top right) taken 2 months after undergoing left orbital floor exploration and repair with a Medpor-Titan implant and left zygomatico-maxillary complex (ZMC) repair using titanium mesh and implants. He is doing well and has made a full recovery.

  • Before Photo-Orbital Trauma Patient 3
    After Photo-Orbital Trauma Patient 3

    Preoperative diagnosis: Left orbital floor fracture resulting in entrapment. The left eye is unable to move upward (to look up) as seen in top left figure. This can be seen in some fractures that “trap” or restrict one of the eye muscles to appropriately allow for the eye to rotate upwards. This is an urgent issue that requires immediate repair, especially in children or teenagers. Top right photo was taken three months after repair and note that the patient is able to equally move both eyes upward without any difficulty.

    Procedure performed: Left exploration of orbita, release of the entrapped extraocular muscle, and repair of left orbital floor fracture.

  • Before Photo-Orbital Trauma Patient 2
    After Photo-Orbital Trauma Patient 2

    This 28 year old female underwent trauma to the right side of her face and had a zygomatico-maxillary complex (ZMC) fracture which involved many facial bones including her orbital floor. She had difficulty opening her mouth to eat, numbness along the right side of her face, and a cosmetic deformity. She underwent repair of her right ZMC fracture using titanium plates to fixate the bones into their correct position. Exploration of her orbit was also performed and she had a large orbital floor fracture that was also repaired with an implant. She healed well and had little to no signs of surgery even after 6 weeks from surgery, as seen in this photograph.

    Preoperative diagnosis: Right zygomatico-maxillary complex (ZMC) fracture, right orbital floor fracture.

    Procedure performed: Exploration and repair of the rightzygomatico-maxillary complex (ZMC) fracture and orbital floor fracture.

  • Before Photo-Orbital Trauma Patient 1
    After Photo-Orbital Trauma Patient 1

    This 19 year old male underwent trauma to the left side of his face from a car accident and had a zygomatico-maxillary complex (ZMC) fracture which involved many facial bones including his orbital floor. He had difficulty opening his mouth to eat, numbness along the left side of his face, and a cosmetic deformity. He underwent repair of hisleft ZMC fracture using titanium plates to fixate the bones into their correct position. Exploration of her orbit was also performed and he had a large orbital floor fracture that was also repaired with an implant. He healed well and had little to no signs of surgery even after 6 weeks from surgery, as seen in this photograph. This surgery was done alongside Dr. Richard Zoumalan, facial plastic surgeon.

    Preoperative diagnosis: Leftzygomatico-maxillary complex (ZMC) fracture, right orbital floor fracture.

    Procedure performed: Exploration and repair of the leftzygomatico-maxillary complex (ZMC) fracture and orbital floor fracture.