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Updated: Feb 12, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital Fractures
Kris S Moe1, Andrew H Murr2, Sara Tullis Wester3
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Washington School of Medicine, Seattle, WA, USA; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA, USA.
Anatomic orbital reconstruction, using endoscopic visualization and navigation-guided surgery, improves surgical outcomes. Precise exophthalmometry is crucial for optimal results in orbital reconstruction procedures.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Medical Imaging
Background:
- Orbital reconstruction aims to restore form and function after trauma or surgery.
- Traditional volumetric reconstruction methods may not achieve optimal aesthetic and functional results.
- Minimally invasive techniques are increasingly explored for orbital fracture repair.
Purpose of the Study:
- To evaluate the efficacy of anatomic orbital reconstruction compared to volumetric methods.
- To highlight the benefits of endoscopic visualization in orbital surgery.
- To assess the role of navigation-guided surgery and mirror-image overlay in achieving precise implant contouring.
Main Methods:
- Utilized an anatomic approach for orbital reconstruction, focusing on replicating the native orbital anatomy.
- Employed endoscopic visualization to enhance surgical site illumination and magnification.
- Integrated mirror-image overlay with navigation-guided surgery for real-time implant adjustment.
- Performed precise exophthalmometry measurements pre-, intra-, and post-operatively.
Main Results:
- Anatomic reconstruction demonstrated superior outcomes compared to volumetric reconstruction.
- Endoscopic visualization facilitated improved surgical site access and team awareness.
- Navigation-guided surgery with mirror-image overlay enabled accurate contour matching to the contralateral orbit.
- Exophthalmometry confirmed the achievement of optimal ocular positioning.
Conclusions:
- Anatomic orbital reconstruction is a superior technique for achieving improved patient outcomes.
- Endoscopic visualization and navigation-guided surgery enhance precision and safety in orbital reconstruction.
- Meticulous exophthalmometry is essential for successful surgical results in orbital repair.
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