Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 12 , Pages 2559-2570 , December 2009

Computer-Assisted Planning, Stereolithographic Modeling, and Intraoperative Navigation for Complex Orbital Reconstruction: A Descriptive Study in a Preliminary Cohort

  • R. Bryan Bell, DDS, MD

      Affiliations

    • Attending Head and Neck Surgeon and Director of Resident Education, Oral and Maxillofacial Surgery Service, Legacy Emanuel Hospital and Health Center; and Clinical Associate Professor of Oral and Maxillofacial Surgery, Oregon Health & Science University, Portland, OR
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Bell: 1849 NW Kearney, Suite 300, Portland, OR 97209
    • ,
  • Michael R. Markiewicz, DDS, MPH

      Affiliations

    • Resident, Department of Oral and Maxillofacial Surgery, Oregon Health & Science University, Portland, OR

References 

  1. Bell RB. The role of oral and maxillofacial surgery in the trauma care center. J Oral Maxillofac Surg. 2007;65:2544
  2. Hammer B. Orbital Fractures: Diagnosis, Operative Treatment, Secondary Corrections. Seattle, WA: Hogrefe and Huber; 1995;
  3. Manson PN, Hoopes JE, Su CT. Structural pillars of the facial skeleton: An approach to the management of Le Fort fractures. Plast Reconstr Surg. 1980;66:54
  4. Gruss JS, Bubak PJ, Egbert MA. Craniofacial fractures (An algorithm to optimize results). Clin Plast Surg. 1992;19:195
  5. Converse JM, Smith B. Reconstruction of the floor of the orbit by bone grafts. Arch Ophthalmol. 1950;44:1
  6. Converse JM, Smith B, Obear MF, et al. Orbital blowout fractures: A ten year survey. Plast Reconstr Surg. 1967;39:20
  7. Antonyshyn O, Gruss JS, Galvraith DJ, et al. Complex orbital fractures: A critical analysis of immediate bone graft reconstruction. Plast Reconstr Surg. 1989;22:220
  8. Constantian MB. Use of auricular cartilage in orbital floor reconstruction. Plast Reconstr Surg. 1982;69:951
  9. Browning C, Walker RV. The use of alloplastics in 45 cases of orbital floor reconstruction. Am J Ophthalmol. 1965;60:684
  10. Romano JJ, Iliff NT, Manson PN. Use of Medpor porous polyethylene implants in 140 patients with facial fractures. J Craniofac Surg. 1993;4:142
  11. Polley JW, Ringler SL. The use of Teflon in orbital floor reconstruction following blunt facial trauma: A 20 year experience. Plast Reconstr Surg. 1987;79:39
  12. Sargent LA, Fulks DK. Reconstruction of internal orbital fractures with vitallium mesh. Plast Reconstr Surg. 1991;88:31
  13. Rubin PAD, Bilyk FR, Shore JW. Orbital reconstruction using porous polyethylene sheets. Ophthalmology. 1994;101:1697
  14. Bedrossian EJ. Banked fascia lata as an orbital floor implant. Ophthal Plast Reconstr Surg. 1993;9:66
  15. Cordewener FW, Bos RRM, Rozema FR, et al. Poly(l-lactide) implants for repair of human orbital floor defects: Clinical and MRI evaluation of long term results. J Oral Maxillofac Surg. 1996;54:9
  16. Mathog R, Hillstrom RP, Nesi FA. Surgical correction of enophthalmos and diplopia: A report of 38 cases. Arch Otolaryngol Head Neck Surg. 1989;115:169
  17. Kawamoto HK. Late posttraumatic enophthalmos: A correctable deformity?. Plast Reconstr Surg. 1982;69:423
  18. Fries R. Some problems in therapy of traumatic enophthalmos. Mod Probl Ophthalmol. 1975;14:637
  19. Hammer B, Prein J. Correction of post-traumatic orbital deformities: Operative techniques and review of 26 patients. J Craniomaxillofac Surg. 1995;23:81
  20. Wojno TH. The incidence of extrocular muscle and cranial nerve palsy in orbital floor blow-out fractures. Ophthalmology. 1987;94:682
  21. Mathog RJ, Archer KF, Nesi F. Post-traumatic enophthalmos and diplopia. Otolaryngol Head Neck Surg. 1989;94:69
  22. Manson PN, Grivas A, Rosenbaum A, et al. Studies on enophthalmos II: The measurement of orbital injuries by quantitative computed tomotgraphy. Plast Reconstr Surg. 1986;77:203
  23. Bite U, Jackson IT, Forbes GS, et al. Orbital volume measurements in enophthalmos using three-REF CT imaging. Plast Reconstr Surg. 1985;75:502
  24. Dolynchuk V, Tadjalle H, Manson P. Orbital volumetric analysis: Clinical application in orbitozygomatic injuries. J Cranio Maxillofac Trauma. 1996;2:56
  25. Raskin E, Millman A, Lubkin U. Prediction of late enophthalmos by volume analysis of orbital fracture. Ophthal Plast Reconstr Surg. 1998;14:19
  26. Kolk A, Pautke C, Schott V, et al. Secondary post-traumatic enophthalmos: High resolution magnetic resonance imaging compared with multislice computed tomography in postoperative orbital volume measurement. J Oral Maxillofac Surg. 2007;65:1926
  27. Hammer B, Kunz C, Schramm A, et al. Repair of complex orbital fractures: Technical problems, state of the art solutions and future perspectives. Ann Acad Med Singapore. 1999;28:687
  28. Watzinger F, Wanschitz F, Wagner A, et al. Computer-aided navigation in secondary reconstruction of post-traumatic deformities of the zygoma. J Craniomaxillofac Surg. 1997;25:198
  29. Ewers R, Schicho K, Undt G, et al. Basic research and 12 years of clinical experience in computer-assisted navigation technology: A review. Int J Oral Maxillofac Surg. 2005;34:1
  30. Schramm A, Schon R, Rucker M, et al. Computer-assisted oral and maxillofacial reconstruction. J Comput Informations Technol CIT. 2006;14:71
  31. Gellrich NC, Schramm A, Hammer B, et al. Computer-assisted secondary reconstruction of unilateral posttraumatic orbital deformity. Plast Reconstr Surg. 2002;110:1417
  32. Schmelzeisen R, Gellrich NC, Schoen R, et al. Navigation-aided reconstruction of medial orbital wall and floor contour in craniomaxillofacial reconstruction. Inj Int J Care Injured. 2004;35:955
  33. Metzger MC, Schon R, Schulze D, et al. Individual preformed titanium meshes for orbital fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:442
  34. Klug C, Schicho K, Ploder O, et al. Point to point computer assisted navigation for precise transfer of planned zygoma osteotomies from the stereolithographic model into reality. J Oral Maxillofac Surg. 2006;64:550
  35. Westendorff C, Kaminsky J, Ernemann U, et al. Image-guided sphenoid wing meningioma resection and simultaneous computer-assisted cranioorbital reconstruction: Technical case report (Operative). Neurosurgery. 2007;60(Suppl 1):E174
  36. Pham AM, Rafii AA, Metzger MC, et al. Computer modeling and intraoperative navigation in maxillofacial surgery. Otolaryngol Head Neck Surg. 2007;137:624
  37. Schicho K, Figi M, Seemann R, et al. Accuracy of treatment planning based on stereolithography in computer assisted surgery. Med Phys. 2006;33:3408
  38. Fan X, Zhou H, Lin M, et al. Late reconstruction of the complex orbital fractures with computer-aided design and computer-aided design and computer-aided manufacturing technique. J Craniofac Surg. 2007;18:665
  39. Klein M, Glatzer C, Cad I. CAM fabricated glass bioceramic implants in reconstructive surgery of the bony orbital floor. Plast Reconstr Surg. 2006;117:565
  40. Forbes G, Gehring DG, Gorman CA, et al. Volume measurements of normal orbital structures by computed tomographic analysis. Am J Roentgenol. 1985;145:149

PII: S0278-2391(09)01552-3

doi: 10.1016/j.joms.2009.07.098

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 12 , Pages 2559-2570 , December 2009

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