Semiautomatic Procedure for Individual Preforming of Titanium Meshes for Orbital Fractures

Metzger, Marc Christian; Schön, Ralf; Zizelmann, Christoph; Weyer, N.; Gutwald, Ralf; Schmelzeisen, Rainer

doi:10.1097/01.prs.0000242495.97162.4b

Cited by 69 publications

(36 citation statements)

References 48 publications

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“…In a series of recent publications, the Freiberg group reported the use of individually preformed titanium mesh implants using computer assisted preoperative planning, stereolithographic templates and intraoperative navigational control with encouraging results 13,14,16 . With the current increased use of rapid prototyping and close collaboration between medical and research institutes, such obstacles have now been overcome 17 .…”

Section: Discussionmentioning

confidence: 98%

Customized titanium reconstruction of post-traumatic orbital wall defects: a review of 22 cases

Mustafa¹,

Evans²,

Bocca³

et al. 2011

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 98%

Customized titanium reconstruction of post-traumatic orbital wall defects: a review of 22 cases

Mustafa¹,

Evans²,

Bocca³

et al. 2011

International Journal of Oral and Maxillofacial Surgery

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“…The ideal form of the injured orbital cavity was recalculated using the mirror image of the unaffected side 10 . The virtually reconstructed orbital form was then transformed into a model by a template machine as described previously 32,33 . The exact outline of the orbital defect was marked on the ideal orbital model.…”

Section: Methodsmentioning

confidence: 99%

Individually preformed titanium mesh implants for a true-to-original repair of orbital fractures

Schön

Metzger

Zizelmann

et al. 2006

International Journal of Oral and Maxillofacial Surgery

107

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“…[37][38][39][40][41][42][43] The computer-aided surgery (CAS) navigation system can further improve the outcome of surgical intervention. In traditional maxillofacial surgery, due to the limited exposure of surgical site, the surgeons cannot see directly the operative site and assess immediately whether proper bony reduction is achieved during operation.…”

Section: Computer Applicationsmentioning

confidence: 99%

The management of naso-orbital-ethmoid (NOE) fractures

Wei

Tang

Liu

et al. 2015

Chinese Journal of Traumatology

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The bony naso-orbital-ethmoid (NOE) complex is a 3-dimensional delicate anatomic structure. Damages to this region may result in severe facial dysfunction and malformation. The management and optimal surgical treatment strategies of NOE fractures remain controversial. For a patient with NOE trauma, doctors should perform comprehensive clinical examination and radiographic analysis to assess the type and extent of fracture. The results of assessment will assist doctors to make a patient-specific program for the sake of reducing post-operation complications and restoring normal appearance and function as much as possible. This review focuses on the advancement of management of NOE fractures including symptoms, classifications, diagnosis, approaches, treatment and new techniques in this field.Due to the naso-orbital-ethmoid (NOE) complex's intricate anatomy, the fracture in this region has been one of the most challenging to manage in maxillofacial trauma. The NOE complex is a 3-dimensional delicate anatomic structure. Damage to any structure in this region, even minimal, is quite likely to result in the facial function and appearance abnormal. M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTFurthermore, this complex structure has a compact relationship with the brain and eyes, because it separates the nasal, orbital cavities from cranial cavity. Therefore, as long as the fracture of the region is suspected, a thorough physical examination and radiographic assessment, such as 2-dimensional (2D) CT and 3-dimensional (3D) CT, must be performed to assess the type and extent of fracture after achieving the stable vital signs.At present, different types of approaches for exposure have been discussed, such as midfacial degloving and endoscopic approach, as well as management of the NOE fracture, such as bone tissue engineering. However, every procedure has its advantages and disadvantages. According to individual injures, the surgeon should select the patient-specific treatment to restore the normal facial function and appearance. This review will discuss the advancement in the field of NOE fracture management. NOE anatomy Bony structure: the NOE complex consists of the nasal bones, frontal process of the maxilla, nasal process of the frontal bone, lacrimal bone, lamina papyracea, ethmoid bone, sphenoid bone and nasal septum, which separate the nasal, orbital cavities from cranial cavity. 1,2 The medial orbital wall is made up of the lacrimal bone and the lamina papyracea of the ethmoid where blowout fracture is easy to occur (Figure 1). 1 Medial canthal tendon (MCT): MCT is the pivotal soft tissue in NOE area, which supports the canthus, enables proper apposition between the eyelid and the globe, and performs as the lacrimal pump. 2 However, there are many controversies on the anatomy of MCT. The main controversy is on the number of the tendon's limbs. Some scholars referred that it had three limbs: anterior, superior, posterior, 2 some others argued that the superior limb did not exist. 3 Furthermore, some report...

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Semiautomatic Procedure for Individual Preforming of Titanium Meshes for Orbital Fractures

Cited by 69 publications

References 48 publications

Customized titanium reconstruction of post-traumatic orbital wall defects: a review of 22 cases

Customized titanium reconstruction of post-traumatic orbital wall defects: a review of 22 cases

Individually preformed titanium mesh implants for a true-to-original repair of orbital fractures

The management of naso-orbital-ethmoid (NOE) fractures

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