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Updated: Apr 20, 2026
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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
948
Intraoperative imaging in orbital and midface reconstruction
Frank Wilde1, Alexander Schramm1
1Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, Military Hospital Ulm, Academic Hospital of the University of Ulm, Ulm, Germany.
Facial Plastic Surgery : FPS
|November 15, 2014
Summary
Computer-assisted surgery with intraoperative 3D imaging enhances orbital reconstruction predictability. This technology improves surgical accuracy, reduces complications, and minimizes the need for repeat interventions in complex orbital trauma cases.
Area of Science:
- Ophthalmology
- Neurosurgery
- Medical Imaging
Background:
- Orbital injuries can cause significant aesthetic and functional deficits.
- Inadequate reconstruction leads to persistent impairments.
- Computer-assisted surgery (CAS) offers improved outcomes for orbital reconstruction.
Purpose of the Study:
- To highlight the role of intraoperative 3D imaging in CAS for orbital reconstruction.
- To demonstrate how CAS enhances predictability and reduces complications.
- To validate the use of 3D C-arm devices in orbital surgery.
Main Methods:
- Preoperative planning using computed tomography (CT) and CAS.
- Intraoperative navigation for precise implementation of surgical plans.
- Intraoperative 3D imaging, particularly cone beam CT (CBCT) via 3D C-arm devices, for real-time control.
Main Results:
- CAS enables predictable outcomes in orbital reconstruction.
- Intraoperative 3D imaging allows for immediate validation of surgical results.
- 3D C-arm devices effectively prevent malpositioning of bone fragments and implants.
Conclusions:
- Intraoperative 3D imaging is crucial for successful computer-assisted orbital surgery.
- This technology assures the quality of complex orbital reconstructions.
- It significantly reduces the necessity for secondary surgical interventions.
