{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:05:44Z","timestamp":1784214344310,"version":"3.55.0"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Surgical repair of orbital fractures comes with risks. One rare risk is interference with the actions of the superior oblique tendon-muscle complex causing an acquired Brown syndrome. We present the case of a 45-year-old man who developed acquired Brown syndrome after undergoing repair of a large orbital floor and medial orbital wall fracture using a titanium mesh implant. A case report was prepared to discuss a rare surgical risk with open reduction internal fixation (ORIF) of an orbital wall fracture.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective chart review was performed.\n                    <jats:bold>Results:<\/jats:bold>\n                    Post-operative ophthalmological assessment revealed persistent diplopia along with limitations of up-gaze particularly in the adducted position. Ultimately, the patient underwent surgical repositioning of the orbital implant, which seemingly released the superior oblique muscle-tendon complex, resolving most of the diplopia. No further treatment with prisms or strabismus surgery has been required.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Acquired Brown syndrome is a potential risk of surgical repair of orbital fractures involving the medial orbital wall. Herein this case study, we describe a case of acquired Brown syndrome following ORIF of an orbital floor and medial wall fracture, which was alleviated with a revision surgery.\n                  <\/jats:p>","DOI":"10.1177\/22925503251371048","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:43:25Z","timestamp":1756471405000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Acquired Brown Syndrome as a Postoperative Complication of Orbital Wall Fracture Repair with Metallic Mesh"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7583-2117","authenticated-orcid":false,"given":"Justin J.","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trent","family":"Schimmel","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Benson","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua J.","family":"DeSerres","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1992.01080220030010"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3928\/1542-8877-19990501-12"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9394(14)73209-x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2015.42.3.346"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3341\/kjo.2005.19.1.80"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009428"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009471"}],"container-title":["Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503251371048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/22925503251371048","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503251371048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T14:40:26Z","timestamp":1784212826000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/22925503251371048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,29]]},"references-count":7,"alternative-id":["10.1177\/22925503251371048"],"URL":"https:\/\/doi.org\/10.1177\/22925503251371048","relation":{},"ISSN":["2292-5503","2292-5511"],"issn-type":[{"value":"2292-5503","type":"print"},{"value":"2292-5511","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,29]]},"article-number":"22925503251371048"}}