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Arch Facial Plast Surg. 2004;6:63.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I read with interest the excellent article on the surgical technique that Goldberg et al¹ use for the correction of late enophthalmos globe deformities. The key to the evaluation in such cases is the deepened upper eyelid sulcus that can result with unrepaired or inadequately repaired orbital fractures. The authors' relatively simple approach, using an upper tarsal incision and placement of high-density polyethylene implants (Medpor; Porex, Newnan, Ga) to the deep lateral wall, is an excellent concept, as it places implant material deep to the retropositioned globe, thus pushing it forward.

While Goldberg and colleagues comment that when additional volume is needed, deep medial wall augmentation may be also be performed, I have concerns that the reader may come to the conclusion that this is a standard technique for the correction of enophthalmos in all patients. Not all patients with enophthalmos have an isolated blowout fracture as the cause of . . . [Full Text of this Article]

John L. Frodel, Jr, MD
Department of Otolaryngology–Head and Neck Surgery
Geisinger Medical Center
100 N Academy Ave, MC 13-33
Danville, PA 17822
(e-mail: jlfrodel@geisinger.edu)

RELATED ARTICLE

Orbital Volume Augmentation for Late Enophthalmos Using the Deep Lateral Wall
Robert Alan Goldberg, Stanley Saulny, John D. McCann, and Vernon Ho Yuen
Arch Facial Plast Surg. 2003;5(3):256-258.
ABSTRACT | FULL TEXT