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Related Experiment Video

Updated: Feb 28, 2026

Three-Dimensional Reconstruction of Orbital Fractures

Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

Intraoperative Imaging Changes Management in Orbital Fracture Repair.

Vedant Borad¹, Martin S Lacey², David D Hamlar³

¹Division of Plastic and Reconstructive Surgery, University of Minnesota Medical Center, Minneapolis, MN.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons

|June 10, 2017

Summary

This summary is machine-generated.

Intraoperative imaging, such as the O-arm, significantly altered management in 44% of orbital fracture repairs. This technology allows for real-time adjustments, optimizing outcomes and potentially reducing revision surgeries.

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Area of Science:

Neurosurgery
Ophthalmology
Plastic Surgery
Trauma Surgery

Background:

Intraoperative imaging is increasingly utilized in facial fracture repair.
The O-arm provides real-time imaging during surgical procedures.

Purpose of the Study:

To evaluate the impact of intraoperative imaging on the management of orbital fracture repair.
To determine if the use of the O-arm influences surgical decisions in orbital fracture repair.

Main Methods:

Retrospective case series of 101 orbital fracture repairs from 2008-2015.
Utilized the intraoperative O-arm at a level I trauma center.
Primary outcome: change in surgical management based on imaging findings.

Main Results:

Intraoperative O-arm use changed management in 44% of cases.
Changes included orbital plate repositioning (48%), plate exchange (16%), and reshaping (14%).
Imaging guided decisions on orbital floor exploration (7%) or conservative management (5%).

Conclusions:

Intraoperative imaging enables immediate, real-time modifications to surgical plans.
This technology optimizes orbital fracture repair and may reduce the need for revision procedures.
Improved patient outcomes and decreased morbidity are potential benefits of intraoperative imaging.