Intraoperative navigation assisted reconstruction of a maxillo-facial gunshot wound

Stuehmer, Constantin; Essig, Harald; Schramm, Alexander; Rücker, Martin; Eckardt, A.; Gellrich, Nils‐Claudius

doi:10.1007/s10006-008-0125-5

Cited by 18 publications

(8 citation statements)

References 15 publications

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“…Removal of contused herniated brain and intracranial foreign bodies and repair of dura are performed as required. Modern-day techniques like 3-D C-arm technology 16 and navigation 17,18 will further improve intra-operative control of fracture reduction and implant positioning. Navigation facilitates reconstruction in unilateral defects through mirroring techniques and in bilateral defects by importing virtual models from standard CT data sets, improving the software tool to fulfill the need for maxillofacial surgery reconstruction.…”

Section: Discussionmentioning

confidence: 99%

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Titanium Mesh Reconstruction of Orbital Roof Fracture with Traumatic Encephalocele: A Case Report and Review of Literature

Mokal

Desai

2012

Craniomaxillofacial Trauma & Reconstruction

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Orbital roof fractures are rare. Traumatic encephaloceles in the orbital cavity are even rarer, with only 21 cases published to date. Orbital roof fractures are generally encountered in males between 20 and 40 years of age following automobile collision. We report a case of an orbital roof fracture with traumatic encephalocele into the left orbit. Early diagnosis and treatment are very important because the raised intraorbital pressure may irreversibly damage the optic nerve. Computed tomography with 3-D reconstruction, the imaging modality of choice, showed the displaced fracture fragment deep into the orbit. Reconstruction of the orbital roof should be performed in every case. We used an extracranial approach to elevate the fracture with titanium mesh to stabilize the fragment. The cosmetic results were excellent but delay in treatment was responsible for delayed recovery of vision. The case report is followed by a brief overview of orbital roof fractures including pertinent review of literature.

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Section: Discussionmentioning

confidence: 99%

“…Some authors recommend frontal sinus obliteration at the time of the initial surgical repair to avoid the late complication of a frontal sinus mucocele. 18 Posttraumatic meningitis has been reported to occur even decades after the initial trauma.…”

Section: Discussionmentioning

confidence: 99%

Titanium Mesh Reconstruction of Orbital Roof Fracture with Traumatic Encephalocele: A Case Report and Review of Literature

Mokal

Desai

2012

Craniomaxillofacial Trauma & Reconstruction

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“…In cranio‐maxillofacial surgery, computer‐assisted pre‐operative planning (CAPP) and computer‐assisted surgery (CAS) could improve treatment, especially for the treatment of acquired or congenital midfacial deformities . The technique described to enhance the larger field of view of the initial non‐referenced CT data with a subvolume data set containing registration marker allows for complete workflow in computer‐assisted planning, and surgery.…”

Section: Discussionmentioning

confidence: 99%

Referencing of markerless CT data sets with cone beam subvolume including registration markers to ease computer‐assisted surgery ‐ A clinical and technical research

Essig

Rana

Kokemueller

et al. 2012

Robotics Computer Surgery

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“…VSP continues to evolve into common practice and much has been published about its success. [17][18][19][20] Operative Principles…”

Section: Surgical Planningmentioning

confidence: 99%

Facial Gunshot Wounds

et al. 2019

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Craniomaxillofacial gunshot injuries, resulting from assault, suicide attempts, and accidental trauma, represent a major public health dilemma in the United States. Due to the extent of injury and resulting osseous and soft tissue loss, facial gunshot wounds pose a unique challenge to the reconstructive surgeon. Initial management should use advanced trauma life support principles with the goal of patient stabilization. Acute operative management should center around wound decontamination, debridement, and temporary closure. Historically, definitive surgical management focused on delayed reconstruction secondary to high rates of wound infections, necrosis, and ischemia. With improvements in imaging modalities, the advent of virtual surgical planning, and the popularization of microvascular free flaps, contemporary methods have shifted toward earlier more definitive reconstruction. Autologous free tissue transfer has resulted in a decrease in hospital stay and the number of overall surgeries. Importantly, due to the variability in injury pattern and complexity in reconstruction, a systematic approach toward intervention is needed to mitigate complications and optimize overall functional and aesthetic outcomes.

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Intraoperative navigation assisted reconstruction of a maxillo-facial gunshot wound

Abstract: The favorable outcome leads us to recommend the technique of merging comparable CT data for reconstructive planning of bilateral mid-facial fractures.

Cited by 18 publications

References 15 publications

Titanium Mesh Reconstruction of Orbital Roof Fracture with Traumatic Encephalocele: A Case Report and Review of Literature

Titanium Mesh Reconstruction of Orbital Roof Fracture with Traumatic Encephalocele: A Case Report and Review of Literature

Referencing of markerless CT data sets with cone beam subvolume including registration markers to ease computer‐assisted surgery ‐ A clinical and technical research

Facial Gunshot Wounds

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