Computer-assisted planning, stereolithographic modeling, and intraoperative navigation for complex orbital reconstruction: a descriptive study in a preliminary cohort

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
R Bryan Bell, Michael R Markiewicz

Abstract

Post-traumatic or postablative enophthalmos and diplopia and/or facial asymmetry resulting from inaccurate restoration of orbital anatomy remain relatively frequent sequellae of complex orbital reconstruction. Recently, preoperative computer-assisted planning with virtual correction and construction of stereolithographic models have been combined with intraoperative navigation in an attempt to more accurately reconstruct the bony orbit and optimize treatment outcomes. The purpose of the present study is to review the authors' early experience with computer planning, stereolithographic modeling, and intraoperative navigation in a series of patients who underwent surgical treatment for a variety of complex post-traumatic and postablative orbital deformities. The investigators initiated a retrospective chart review, and a sample of patients was derived from the population of patients at Legacy Emanuel Hospital, Portland, OR, between 2007 and 2008. Each patient's anatomy was assessed in multiplanar (axial, coronal, sagittal) and 3-dimensional computed tomography (CT) hard-tissue views; virtual correction was made using the uninjured or anatomically correct side by creating a mirror image that was superimposed on the traumatized sid...Continue Reading

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Citations

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