Plastic's Appointment

We went to see Dr. Meuller today, Erik's plastic surgeon. He provided us the photo's of the CT scan that was taken last Thursday on 5/8. These images are crazy. He highlighted in yellow each titanium plate that was added to Eriks face. You can see the screws at the end of each plate...they look a little nobby.

As you can see in the following picture. There is a bunch of yellow in the optical floor of his left eye (shown on the right side). That yellow is the titanium mesh that was used to lift up his left eye. There was a hole in this area prior to the plastic surgery.
This image shows a hole in the side area of Erik's head, above the temple. That is a drill hole that the surgeons used to cut Erik's skull open. The cut is shown at the line of the square plate. Dr. Meuller said that the hole will heal itself.

This is the most shocking image. This is the left side of Erik's head. YES there is a giant hole in Erik's skull. We had no clue. I can't get over it. When you look at Erik ... you can actually see a concave indention in Eriks head. I guess that Erik did not realize the indention until I mentioned it to him about 5 minutes before Dr. Meuller walked into the room. This hole seems very strange to me. I am not sure why there is no solid material in this area. The plastic surgeon said that later he can 'pop it back out' with a titanium mesh...I am unsure why it was not done to begin with. It seems a little dangerous to me. We don't have another appointment with Doctor Mueller for another 3 months, so I guess that if Erik wants to 'pop it out' then the surgeon wants to wait to do it.

The next picture shows the big issue with Erik's face. Notice that when you look into the right eye socket, there is nothing there (see the difference between the left socket) This is an issue. There is a hole in Erik's optic roof.


I have re-created a couple diagrams the doctor showed us in order to make it a little easier to understand. This is a normal eye socket in profile view. There is fat behind the eye with an optic roof and floor containing it. Erik's left eye had a hole in the optic floor, which was repaired by that titanium mesh that I mentioned before the first image.
This is a diagram of Erik's Right Eye. There is a hole in the optic roof. The fat is pushing up, therefore not creating the pressure that is needed for the eye to be in its correct location. The eye is pushing back and up. If you look directly into Erik's eyes...you can actually see less of the colored part of Eriks eye. His there is about 5mm of white that continues under his colored area of his eye. His whole eye area is actually set back a bit.

The plastic surgeon said that this type of repair is done by the neurosurgeon. This DOES mean another surgery. We have an appointment with the neurosurgeon tomorrow regarding the CSF leak...We will also try to find out more about the optic roof. I am not sure if this is something that they will be able to repair at the same time.