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Patient Examples cranio-orbital deformities surgery

patient example 1

This Graves Disease patient (overactive thyroid gland) suffered from severely swollen eyes. She was unable to close her eyes and lived in constant pain. By increasing the volume of her eye sockets and building up her orbital rims, Dr. Yaremchuk both improved her appearance and eliminated her eye pain. Her surgery was featured in the Health and Science Section of the April 30, 2002 edition of the Boston Globe.

To learn more about this surgery, click here.

patient example 2

This patient suffered from severe eye socket (nasoethmoidal) fractures, which increased the distance between her eyes, destroyed the bridge of her nose and caused her right eye to sink in (enophthalmos). Dr. Yaremchuk corrected these problems by moving the eye socket walls, reconstructing the nose bridge and adjusting the internal socket walls.

patient example 3

This patient suffered from a severe facial fracture (hemi-nasoethmoidal), which resulted in a misaligned eyed and the sinking of his left eyeball (enophthalmos). Dr. Yaremchuk repositioned and reconstructed the eye socket walls to correct the patient's appearance.

patient example 4

This patient suffered severe head and eye socket fractures resulting in sinking in of his left eye (enophthalmos). Dr. Yaremchuk reconstructed the patient's eye socket roof, walls and floor in order to reposition the eye.

patient example 5

This woman suffered from a congenital defect called Treacher-Colllins syndrome. Dr. Yaremchuk improved the shape and alignment of her eyes by increasing her eye socket rims (infraorbital rim augmentation) and cheekbone, and by tightening tendons near her eyes (lateral canthopexy).

patient example 6

This patient was referred with an exposed cranial implant. Three surgeries were required to treat this patient. At the first operation, the implant was removed and the resultant wound closure with a free tissue transfer. At the second surgery, a tissue expander was placed in the hair bearing scalp to replace the tissue lost due to infection. In the third operation, a custom made, computer generated implant was placed to repair the skull defect and was covered with expanded hair bearing scalp.

patient example 7

This patient had undergone treatment for her Romberg's disease with bone grafting to the forehead and orbit as an adolescent. The majority of the grafts had resorbed. She was also displeased with her overall aged appearance and the sinking in of her right eye (enophthalmos).

In one operation, Dr. Yaremchuk corrected the patient's forehead and lateral orbit deficiency with a custom made porous polyethylene implant, corrected the enophthalmos with internal orbit reconstruction as well as performed a rhytidectomy.

patient example 8

This woman had several attempts to correct the post-traumatic deformity which included bilateral ectropion. Dr. Yaremchuk augmented the temporal deficiency. Osteotomized and moved the zygomatic arch and corrected the ectropion with midface elevation and lateral canthopexy.

patient example 9

This patient was a pedestrian struck by an automobile. She suffered fractures to her right cheek and orbit. Her initial treatment was not optimal. Note the inward sinking of her right globe due to the enlargement of her orbit. Note the depression of her cheek. The skeletal deformities responsible are demonstrated on the CT scans.

The artist’s depiction shows how Dr. Yaremchuk rebuilt the patient’s cheek and orbital bone.

The preoperative appearance is on the left and the postoperative on the right.

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C. 2005   Michael J. YAREMCHUK, M.D.    all rights reserved