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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Orbital Reconstruction in Le Fort III Fractures
Yang Wang1, Zhengkang Li, Huifang Chen
1Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
The Journal of Craniofacial Surgery
|August 15, 2022
Summary
This study evaluated an ordered surgery method for Le Fort III fractures. The technique effectively reduced orbital volumes, demonstrating its safety and efficacy in orbital reconstruction.
Area of Science:
- Maxillofacial surgery
- Ophthalmology
- Plastic surgery
Background:
- Quantitative data on surgical outcomes for Le Fort III fractures are limited.
- An ordered surgery method for Le Fort III fractures has been previously proposed by the authors.
- This study aims to quantitatively assess the effectiveness of this ordered surgery method.
Purpose of the Study:
- To evaluate the effectiveness of an ordered surgery method for Le Fort III fractures.
- To provide quantitative outcomes regarding orbital reconstruction in Le Fort III fractures.
- To assess the safety and efficacy of the proposed surgical technique.
Main Methods:
- Retrospective study of patients with Le Fort III fractures (January 2015 - June 2019).
- Surgical reconstruction performed using an ordered surgery method.
- Orbital volumes measured pre- and post-operatively to assess reconstruction effectiveness.
Main Results:
- Fifteen patients (21 eyes) with Le Fort III fractures were analyzed.
- Statistically significant reduction in orbital volumes post-surgery (P <0.01).
- Orbital volumes became comparable between eyes in unilateral and bilateral cases after surgery (P=0.35).
Conclusions:
- The ordered surgery method is effective and safe for treating Le Fort III fractures.
- This technique leads to a significant decrease in orbital volumes.
- Quantitative assessment supports the utility of this surgical approach.
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