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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Applications of 3D orbital computer-assisted surgery (CAS)
1Department of Surgery, Division of Oral and Maxillofacial Surgery, hôpitaux universitaire de Genève, Faculty of Medicine, 1211 Genève, Switzerland.
Journal of Stomatology, Oral and Maxillofacial Surgery
|June 24, 2017
Summary
3D orbital computer-assisted surgery (CAS) effectively treats orbital deformities using intra-operative navigation and CAD/CAM. This advanced surgical approach ensures stable cosmetic and dimensional results for patients.
Area of Science:
- Craniofacial surgery
- Medical imaging
- Surgical navigation
Background:
- Orbital deformities present complex reconstructive challenges.
- Advanced surgical techniques are crucial for optimal patient outcomes.
Purpose of the Study:
- To outline the indications for utilizing 3D orbital computer-assisted surgery (CAS).
- To evaluate the efficacy of CAS in treating various orbital deformities.
Main Methods:
- Analysis of clinical and radiological data from 103 patients treated between 2009-2016.
- Application of intra-operative navigation and CAD/CAM techniques for orbital reconstruction.
- Recording of patient demographics, deformity type, surgical procedures, and complications.
Main Results:
- 96 patients underwent intra-operative navigation for diverse orbital fractures and deformities.
- 8 patients received CAD/CAM PEEK-PSI for contour correction post-trauma.
- 1 patient had CAD/CAM surgical splints for orbital hypertelorism correction.
- A low revision rate (1.9%) was observed, with stable results at 1-year follow-up.
Conclusions:
- 3D orbital CAS, encompassing intra-operative navigation and CAD/CAM, leads to successful outcomes.
- The study confirms the effectiveness of CAS in managing a wide spectrum of orbital deformities.
- Stable functional and aesthetic results were achieved in the patient cohort.
