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Effective Reconstruction of Extensive Orbital Floor Fractures Using Rapid Prototyping Model  

Kim, Hye-Young (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Oh, Deuk-Young (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Lee, Woo-Sung (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Moon, Suk-Ho (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Seo, Je-Won (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Lee, Jung-Ho (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Rhie, Jong-Won (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Ahn, Sang-Tae (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
Publication Information
Archives of Plastic Surgery / v.37, no.5, 2010 , pp. 633-638 More about this Journal
Abstract
Purpose: Orbital bone is one of the most complex bones in the human body. When the patient has a fracture of the orbital bone, it is difficult for the surgeon to restore the fractured orbital bone to normal anatomic curvature because the orbital bone has complex curvature. We developed a rapid prototyping model based on a mirror image of the patient's 3D-CT (3 dimensional computed tomography) for accurate reduction of the fractured orbital wall. Methods: A total of 7 cases of large orbital wall fracture recieved absorbable plate prefabrication using rapid prototyping model during surgery and had the manufactured plate inserted in the fracture site. Results: There was no significant postoperative complication. One patient had persistent diplopia, but it was resolved completely after 5 weeks. Enophthalmos was improved in all patients. Conclusion: With long term follow-up, this new method of orbital wall reduction proved to be accurate, efficient and cost-effective, and we recommend this method for difficult large orbital wall fracture operations.
Keywords
Orbital fractures; Absorbable implants; Computeraided design; Computer simulation;
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Times Cited By KSCI : 1  (Citation Analysis)
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