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  Indian J Med Microbiol
 

Figure 8: (a) A and B: Clinical picture showing right enophthalmos, lower lid retraction, flat malar eminence, increased horizontal facial width, crooked nose, and status postacute dacryocystitis. C-G: Preoperative model and computerized tomography scan showing inferior orbital rim displaced inferiorly and posteriorly, malunited zygomatico maxillary complex (blue and yellow arrows), and comminuted body of zygoma (red arrow). E: Intraoperative navigation screenshot showing mirrored image in yellow. (b) H: Showing navigation tracker and frontozygomatic plate. I: Bone graft donor site-anterior border of mandibular ramus. J: Bone graft placed medially to augment the inferior orbital rim and held in place with the prong of the orbital mesh. K: Plate at the sphenozygomatic suture-the only other point for fixation as body of zygoma was comminuted. L: Precontoured floor and medial wall mesh in place. (c) M and N: Comparison of pre and postoperative pictures showing improvement in enophthalmos and eyelid position. Dacryocystorhinostomy was done in the same sitting. O-Q: Postoperative computerized tomography scans showing implants in place and the reconstruction with bone graft

Figure 8: (a) A and B: Clinical picture showing right enophthalmos, lower lid retraction, flat malar eminence, increased horizontal facial width, crooked nose, and status postacute dacryocystitis. C-G: Preoperative model and computerized tomography scan showing inferior orbital rim displaced inferiorly and posteriorly, malunited zygomatico maxillary complex (blue and yellow arrows), and comminuted body of zygoma (red arrow). E: Intraoperative navigation screenshot showing mirrored image in yellow. (b) H: Showing navigation tracker and frontozygomatic plate. I: Bone graft donor site-anterior border of mandibular ramus. J: Bone graft placed medially to augment the inferior orbital rim and held in place with the prong of the orbital mesh. K: Plate at the sphenozygomatic suture-the only other point for fixation as body of zygoma was comminuted. L: Precontoured floor and medial wall mesh in place. (c) M and N: Comparison of pre and postoperative pictures showing improvement in enophthalmos and eyelid position. Dacryocystorhinostomy was done in the same sitting. O-Q: Postoperative computerized tomography scans showing implants in place and the reconstruction with bone graft