Dr. Robert J Paresi, Jr. MD

Treatment of facial fracture in 23 year-old Chicago male in Downers Grove, IL*

Patient

Age:  
18 - 29
Gender:  
Male
Ethnicity:  
Hispanic
Height:  
Undisclosed
Weight:  
Undisclosed
Gallery:  
37849

Procedure

Profile

Dr. Robert J. Paresi Jr.
Dr. Robert J. Paresi Jr.
Plastic Surgeon
630-473-9511

Procedure Details

This is a 23 year-old male who was struck by a softball in the left eye sustaining a left zygomatico-maxillary complex (ZMC) fracture. The patient complained of some double vision. The patient was taken to Good Samaritan Hospital in Downers Grove, IL and treated with an open reduction internal fixation (ORIF) of the facial fractures (left cheek bone). An alloplastic implant was placed to correct an orbital floor blowout fracture. The patient developed a postoperative traumatic enopthalmos about 4 weeks after the surgery with recurrent double vision. A postoperative CT scan revealed displacement of the orbital floor plate and herniated orbital contents into the left maxillary sinus. The patient was brought back to the operating room for a left orbital floor split calvarial bone graft to correct the defect and correct the enopthalmos. He had an uneventful postoperative course with complete resolution of his symptoms.
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Front View

Front View Before Straight
Before Straight
Front View Before Up
Before Up

Front view of a 23 year-old male with left zygomatico-maxillary complex fracture. Notice the slight lower position of his left globe as a result of the orbital floor defect. More

Side View

Side View Before Left
Before Left
Side View Before Right
Before Right

Side view of a 23 year-old male with left zygomatico-maxillary complex fracture. Notice the slight lower position of his left globe as a result of the orbital floor defect. More

Side View

Side View Before Left
Before Left
Side View Before Right
Before Right

Oblique view of a 23 year-old male with left zygomatico-maxillary complex fracture. Notice the slight lower position of his left globe as a result of the orbital floor defect. More

Pre-Op CT Scan

Pre-Op CT Scan Before 1
Before 1
Pre-Op CT Scan Before 2
Before 2

Pre-Op CT Scan of a 23 year-old male with left zygomatico-maxillary complex fracture. Notice the opacification of the left maxillary sinus and the displaced left cheek bone. More

Pre-Op CT Scan

Pre-Op CT Scan Before 3
Before 3
Pre-Op CT Scan Before 4
Before 4

Pre-Op CT Scan of a 23 year-old male with left zygomatico-maxillary complex fracture. Notice the opacification of the left maxillary sinus and the displaced left cheek bone. More

4-Weeks Post-Op CT Scan

4-Weeks Post-Op CT Scan After 3
After 3
4-Weeks Post-Op CT Scan After 4
After 4

Patient had ORIF of the left ZMC fracture and developed a postoperative enopthalmos seen on the above postoperative CT scan 4 weeks after placement of an alloplastic orbital floor plate and fixation of the ZMC fracture. Notice the disruption of the plate and the herniation of orbital contents through the left orbital floor. More

Postoperative Left Enopthalmos

Postoperative Left Enopthalmos
Postoperative Left Enopthalmos

Front and side view of patient 4 weeks after ORIF of left ZMC fracture and worsening left post-traumatic enopthalmos. Notice the deepening of the left supratarsal crease and higher fold in comparison to the right side. More

Split Calvarial Bone Graft

Split Calvarial Bone Graft Before
Before
Split Calvarial Bone Graft After
After

Front view 1 week after patient had left orbital floor split calvarial bone graft to correct the enopthalmos. Notice the symmetry of the globe position and the upper eyelid folds. More

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Location

Advocate Good Samaritan

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.