Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Application of Rapid Prototyping Technique and Intraoperative Navigation System for the Repair and Reconstruction of Orbital Wall Fractures

  • Cha, Jong Hyun (Department of Plastic and Reconstructive Surgery, Konyang University College of Medicine) ;
  • Lee, Yong Hae (Department of Plastic and Reconstructive Surgery, Konyang University College of Medicine) ;
  • Ruy, Wan Chul (Department of Plastic and Reconstructive Surgery, Konyang University College of Medicine) ;
  • Roe, Young (Department of Plastic and Reconstructive Surgery, Inha University School of Medicine) ;
  • Moon, Myung Ho (Biomedical Engineering, Konyang University College of Medicine) ;
  • Jung, Sung Gyun (Department of Plastic and Reconstructive Surgery, National Medical Center)
  • Received : 2016.07.06
  • Accepted : 2016.09.10
  • Published : 2016.09.20
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Abstract

Background: Restoring the orbital cavity in large blow out fractures is a challenge for surgeons due to the anatomical complexity. This study evaluated the clinical outcomes and orbital volume after orbital wall fracture repair using a rapid prototyping (RP) technique and intraoperative navigation system. Methods: This prospective study was conducted on the medical records and radiology records of 12 patients who had undergone a unilateral blow out fracture reconstruction using a RP technique and an intraoperative navigation system from November 2014 to March 2015. The surgical results were assessed by an ophthalmic examination and a comparison of the preoperative and postoperative orbital volume ratio (OVR) values. Results: All patients had a successful treatment outcome without complications. Volumetric analysis revealed a significant decrease in the mean OVR from $1.0952{\pm}0.0662$ (ranging from 0.9917 to 1.2509) preoperatively to $0.9942{\pm}0.0427$ (ranging from 0.9394 to 1.0680) postoperatively. Conclusion: The application of a RP technique for the repair of orbital wall fractures is a useful tool that may help improve the clinical outcomes by understanding the individual anatomy, determining the operability, and restoring the orbital cavity volume through optimal implant positioning along with an intraoperative navigation system.

Keywords

References

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