Effective Reconstruction of Extensive Orbital Floor Fractures Using Rapid Prototyping Model.
- Author:
Hye Young KIM
1
;
Deuk Young OH
;
Woo Sung LEE
;
Suk Ho MOON
;
Je Won SEO
;
Jung Ho LEE
;
Jong Won RHIE
;
Sang Tae AHN
Author Information
1. Department of Plastic Surgery, College of Medicine, Catholic University of Korea, Seoul, Korea. ohdeuk1234@hanmail.net
- Publication Type:Original Article
- Keywords:
Orbital fractures;
Absorbable implants;
Computer-aided design;
Computer simulation
- MeSH:
Absorbable Implants;
Computer Simulation;
Computer-Aided Design;
Diplopia;
Enophthalmos;
Floors and Floorcoverings;
Follow-Up Studies;
Human Body;
Humans;
Orbit;
Orbital Fractures;
Postoperative Complications
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2010;37(5):633-638
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Orbital bone is one of the most complex bones in the human body. When the patient has a fracture of the orbital bone, it is difficult for the surgeon to restore the fractured orbital bone to normal anatomic curvature because the orbital bone has complex curvature. We developed a rapid prototyping model based on a mirror image of the patient's 3D-CT (3 dimensional computed tomography) for accurate reduction of the fractured orbital wall. METHODS: A total of 7 cases of large orbital wall fracture recieved absorbable plate prefabrication using rapid prototyping model during surgery and had the manufactured plate inserted in the fracture site. RESULTS: There was no significant postoperative complication. One patient had persistent diplopia, but it was resolved completely after 5 weeks. Enophthalmos was improved in all patients. CONCLUSION: With long term follow-up, this new method of orbital wall reduction proved to be accurate, efficient and cost-effective, and we recommend this method for difficult large orbital wall fracture operations.
