Treatment of Posttraumatic Enophthalmos Using a Tissue Expander

We used a tissue expander in the treatment of posttraumatic enophthalmos, which until now had proven difficult to treat. As a method, the periosteum of the lateral part of the orbit is exfoliated and a tissue expander is detained through the subcilial incision. A slot along which a tube passes in the orbit wall was created, and then connected to a valve inserted through the temporal incision. Expansion is performed at an interval of every 2 weeks or longer. After achieving a symmetric globe position, the tissue expander is replaced with Hydroxyapatite cement, the volume of which should match the amount of injected saline. This method makes it possible to correct enophthalmos with an anatomically restored orbit.