Facial Deformity Correction with Rib Grafts The patient was involved in a motor vehicle accident approximately six years ago. This had resulted in a direct impact to his left midfacial region. There had been a tremendous amount of swelling and pain, but he had left it untreated. He has been having double vision since that time. There was also some residual facial asymmetry following resolution of pain and swelling in the region. His double vision had constantly inconvenienced his day to day life. He had recently begun having problems at work due to his double vision. This had finally made him seek medical treatment for his problem. He had approached a surgeon at his hometown. Realizing that this was a very complex presentation, he had been referred to our hospital for management. Our hospital is renowned for facial trauma surgery in India. Dr SM Balaji, facial trauma surgeon, had examined the patient and obtained imaging studies including a 3D CT scan. Examination revealed excessive scleral show with restricted movement of the left orbit. The entire contents of the left orbit were at a lower level with a smaller looking left eye. There was a bony depression of the zygomatic bone and the frontal bone over the left eyebrow. He also had the classical signs of an orbital floor blowout fracture. The diagnosis of a healed zygomaticoorbital complex fracture with a blowout of the left orbital floor was made. The patient stated that he did not want to undergo refracture of the old fracture sites. He therefore underwent augmentation of the bony defects in the zygomatic bone and the frontal bone with rib grafts. A transconjunctival incision was used to access the orbital floor. Entrapped orbital contents were released and a mesh was used to reconstruct the orbital floor. There was complete restoration of facial symmetry as well as normalization of his vision. He demonstrated full movement of the eye through all fields. The patient expressed his complete satisfaction and thanked the surgical team before discharge from the hospital. #facialdeformity #ribgraft #maxillofacialsurgery #balajidental #smbalaji #drsmbalaji (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/B_PXOMThPur/?igshid=1kp49t4quluio
