Application of Rapid Prototyping Technique and Intraoperative Navigation System for the Repair and Reconstruction of Orbital Wall Fractures.
10.7181/acfs.2016.17.3.146
- Author:
Jong Hyun CHA
1
;
Yong Hae LEE
;
Wan Chul RUY
;
Young ROE
;
Myung Ho MOON
;
Sung Gyun JUNG
Author Information
1. Department of Plastic and Reconstructive Surgery, Konyang University College of Medicine, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Pinting;
Three-dimensional;
Computer simulation;
Orbital fractures
- MeSH:
Computer Simulation;
Humans;
Medical Records;
Orbit*;
Orbital Fractures;
Prospective Studies;
Surgeons;
Treatment Outcome
- From:Archives of Craniofacial Surgery
2016;17(3):146-153
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Restoring the orbital cavity in large blow out fractures is a challenge for surgeons due to the anatomical complexity. This study evaluated the clinical outcomes and orbital volume after orbital wall fracture repair using a rapid prototyping (RP) technique and intraoperative navigation system. METHODS: This prospective study was conducted on the medical records and radiology records of 12 patients who had undergone a unilateral blow out fracture reconstruction using a RP technique and an intraoperative navigation system from November 2014 to March 2015. The surgical results were assessed by an ophthalmic examination and a comparison of the preoperative and postoperative orbital volume ratio (OVR) values. RESULTS: All patients had a successful treatment outcome without complications. Volumetric analysis revealed a significant decrease in the mean OVR from 1.0952±0.0662 (ranging from 0.9917 to 1.2509) preoperatively to 0.9942±0.0427 (ranging from 0.9394 to 1.0680) postoperatively. CONCLUSION: The application of a RP technique for the repair of orbital wall fractures is a useful tool that may help improve the clinical outcomes by understanding the individual anatomy, determining the operability, and restoring the orbital cavity volume through optimal implant positioning along with an intraoperative navigation system.
