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[Secondary midfacial reconstruction using different surgical techniques and computer assisted surgery].

Günter Lauer1, Winnie Pradel, Matthias Schneider

  • 1Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany. guenter.lauer@uniklinikum-dresden.de

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|August 17, 2006
PubMed
Summary

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Secondary midfacial reconstruction often requires multiple surgical techniques. While bony issues and enophthalmos improve, soft tissue deficits present challenges, though computer-assisted surgery aids orbital dissection and graft placement.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Ophthalmology

Context:

  • Secondary midfacial reconstruction addresses complex post-traumatic or post-surgical defects.
  • Evaluating outcomes of various surgical techniques and computer-assisted surgery (CAS) is crucial for optimizing patient results.

Purpose:

  • To assess the functional and aesthetic outcomes of secondary midfacial reconstruction.
  • To evaluate the effectiveness of different surgical techniques and CAS in midfacial reconstruction.

Summary:

  • This retrospective study analyzed 18 patients undergoing secondary midfacial reconstruction.
  • Outcomes included improvements in diplopia (5/9 patients) and enophthalmos (8/12 patients).
  • A combination of techniques was often employed, with CAS assisting in orbital dissection and segment positioning.

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Impact:

  • Successful correction of bony asymmetries and enophthalmos was achieved.
  • Functional and aesthetic impairments from poor soft tissue quality remain challenging.
  • CAS demonstrated utility in specific aspects of complex midfacial reconstruction.