Technical Note on Three- and Four-Wall Orbital Reconstructions With Patient-Specific Implants

Juliana F. Sabelis, Stephen A. L. Y. Youssef, Friso W. A. Hoefnagels, Alfred G. Becking, Ruud Schreurs, Leander Dubois

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

AbstractOrbital reconstruction is one of the most complex procedures in maxillofacial surgery. It becomes even more complex when all references to the original anatomy are lost. The purpose of this article is to provide an overview of techniques for complex three- and four-wall orbital reconstructions. Preoperative virtual surgical planning is essential when considering different reconstruction possibilities. The considerations that may lead to different approaches are described, and the advantages and drawbacks of each technique are evaluated. It is recommended to reconstruct solitary three-wall or four-wall orbital defects with multiple patientspecific implants. Optimizations of this treatment protocol are suggested, and their effects on predictability are demonstrated in a case presentation of a four-wall defect reconstruction with multiple patient-specific implants.
Original languageEnglish
Pages (from-to)991-996
Number of pages6
JournalJournal of Craniofacial Surgery
Volume33
Issue number4
DOIs
Publication statusPublished - 1 Jun 2022

Keywords

  • Computer-assisted surgery
  • four-wall defects
  • navigation
  • orbital reconstruction
  • patient-specific implants

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