Evolving thoughts on correcting posttraumatic enophthalmos.

Posttraumatic enophthalmos, though a difficult problem, is correctable by traditional craniofacial techniques. Based on considerable experience with these wide exposure operations, our surgical strategy has evolved and has been distilled into one of limited exposure via lateral upper blepharoplasty, transconjunctival without canthotomy and intraoral incisions. The advantages of this approach are reduced morbidity and hospital stay, shorter operating time, and avoidance of blood transfusions. However, this technique should be reserved until valuable insight is gained using the more conventional coronal approach.