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Current Strategies in Post-traumatic Orbital Reconstruction

  • Nils-Claudius GellrichEmail author
  • Jan Dittmann
  • Simon Spalthoff
  • Philipp Jehn
  • Frank Tavassol
  • Rüdiger Zimmerer
Invited Mini Review

Abstract

Posttraumatic orbital reconstruction is one of the most fascinating fields in reconstructive craniomaxillofacial surgery. Hardly any other field in craniomaxillofacial surgery has changed so much in terms of diagnostics, biomaterial selection for reconstruction, surgical techniques including approaches and quality control. In particular, in the field of reconstructive orbital surgery all advances in modern medical treatment are summarized and represented. Reconstructive orbital surgery thus became the medical field spearheading all reconstructive surgical specialties in terms of use of DICOM-data, computer assistance, change towards patient-specific solutions and establishing digital workflows for adequate quality control during all phases of treatment, i.e. pre-, intra- and postoperative. With this paper, this evolutionary process shall be demonstrated as well as display the spirit of change that was necessary to optimize reconstructive orbital surgery and to improve medical care in all areas of reconstruction. Finally, reconstructive orbital surgery could prove to be a highly foreseeable field nowadays, thus giving the next generation of CMF-surgeons a huge opportunity to drive this topic further into the future.

Keywords

Orbital reconstruction Computer-assistance Orbital surgery Quality control 

Notes

References

  1. 1.
    Andrades P, Hernandez D, Falguera MI, Millan JM, Heredero S, Gutierrez R, Sánchez-Aniceto G (2009) Degrees of tolerance in post-traumatic orbital volume correction: the role of prefabricated mesh. J Oral Maxillofac Surg 67(11):2404–2411CrossRefGoogle Scholar
  2. 2.
    Antonyshyn O, Gruss JS (1987) Complex orbital trauma: the role of rigid fixation and primary bone grafting. Adv Ophthalmic Plast Reconstr Surg 7:61–92Google Scholar
  3. 3.
    Büchel P, Rahal A, Seto I, Iizuka T (2005) Reconstruction of orbital floor fracture with polyglactin 910/polydioxanon patch (ethisorb): a retrospective study. J Oral Maxillofac Surg 63(5):646–650CrossRefGoogle Scholar
  4. 4.
    Ellis E III (2014) Surgical approaches to the orbit in primary and secondary reconstruction. Facial Plast Surg 30(05):537–544CrossRefGoogle Scholar
  5. 5.
    Ellis E, Messo E (2004) Use of nonresorbable alloplastic implants for internal orbital reconstruction. J Oral Maxillofac Surg 62(7):873–881CrossRefGoogle Scholar
  6. 6.
    Gellrich NC, Schramm A, Hammer B, Rojas S, Cufi D, Lagrèze W, Schmelzeisen R (2002) Computer-assisted secondary reconstruction of unilateral posttraumatic orbital deformity. Plast Reconstr Surg 110(6):1417–1429Google Scholar
  7. 7.
    Hammer B (1995) Orbital fractures: diagnosis, operative treatment, secondary corrections. Hogrefe & Huber Pub, KirklandGoogle Scholar
  8. 8.
    Hammer B, Prein J (1995) Correction of post-traumatic orbital deformities: operative techniques and review of 26 patients. J Cranio-Maxillofac Surg 23(2):81–90CrossRefGoogle Scholar
  9. 9.
    Kunz C, Audigé L, Cornelius CP, Buitrago-Téllez CH, Rudderman R, Prein J (2014) The comprehensive AOCMF classification system: orbital fractures-level 3 tutorial. Craniomaxillofac Trauma Reconstr 7(S 01):S092–S102CrossRefGoogle Scholar
  10. 10.
    Manson P, Iliff NT (1988) Orbital fractures. Facial Plast Surg FPS 5(3):243–259CrossRefGoogle Scholar
  11. 11.
    Manson PN, Ruas EJ, Iliff NT (1987) Deep orbital reconstruction for correction of post-traumatic enophthalmos. Clin Plast Surg 14(1):113–121Google Scholar
  12. 12.
    Rana M, Chui CH, Wagner M, Zimmerer R, Rana M, Gellrich NC (2015) Increasing the accuracy of orbital reconstruction with selective laser-melted patient-specific implants combined with intraoperative navigation. J Oral Maxillofac Surg 73(6):1113–1118CrossRefGoogle Scholar
  13. 13.
    Rana M, Gellrich MM, Gellrich NC (2015) Customised reconstruction of the orbital wall and engineering of selective laser melting (SLM) core implants. Br J Oral Maxillofac Surg 53(2):208–209CrossRefGoogle Scholar
  14. 14.
    Raschke GF, Rieger UM, Bader RD, Schaefer O, Guentsch A, Schultze-Mosgau S (2013) Transconjunctival versus subciliary approach for orbital fracture repair—an anthropometric evaluation of 221 cases. Clin Oral Invest 17(3):933–942CrossRefGoogle Scholar
  15. 15.
    Schön R, Metzger MC, Zizelmann C, Weyer N, Schmelzeisen R (2006) Individually preformed titanium mesh implants for a true-to-original repair of orbital fractures. Int J Oral Maxillofac Surg 35(11):990–995CrossRefGoogle Scholar
  16. 16.
    Schramm A, Gellrich NC (2011) Intraoperative Navigation und computerassistierte Chirurgie. In: Schwenzer N, Eherenfeld M (eds) Zahn-Mund-Kiefer-Heilkunde, Band 2: Mund-Kiefer- Gesichtschirurgie. Thieme, Stuttgart, pp 479–499Google Scholar
  17. 17.
    Spalthoff S, Jehn P, Zimmerer R, Rana M, Gellrich NC, Dittmann J (2018) Modified lateral orbital wall decompression in Graves’ orbitopathy using computer-assisted planning. Int J Oral Maxillofac Surg 47(2):167–174CrossRefGoogle Scholar
  18. 18.
    Wilde F, Lorenz K, Ebner AK, Krauss O, Mascha F, Schramm A (2013) Intraoperative imaging with a 3D C-arm system after zygomatico-orbital complex fracture reduction. J Oral Maxillofac Surg 71(5):894–910CrossRefGoogle Scholar
  19. 19.
    Wilde F, Schramm A (2014) Intraoperative imaging in orbital and midface reconstruction. Facial Plast Surg 30(05):545–553CrossRefGoogle Scholar
  20. 20.
    Yan Z, Zhou Z, Song X (2012) Nasal endoscopy-assisted reconstruction of orbital floor blowout fractures using temporal fascia grafting. J Oral Maxillofac Surg 70(5):1119–1122CrossRefGoogle Scholar
  21. 21.
    Zimmerer R, Rana M, Schumann P, Gellrich NC (2014) Diagnosis and treatment of optic nerve trauma. Facial Plast Surg 30(05):518–527CrossRefGoogle Scholar
  22. 22.
    Zimmerer RM, Ellis E III, Aniceto GS, Schramm A, Wagner ME, Grant MP, Cornelius CP, Strong EB, Rana M, Chye LT, Calle AR (2016) A prospective multicenter study to compare the precision of posttraumatic internal orbital reconstruction with standard preformed and individualized orbital implants. J Cranio-Maxillofac Surg 44(9):1485–1497CrossRefGoogle Scholar
  23. 23.
    Zimmerer RM, Gellrich NC, von Bülow S, Strong EB, Ellis E III, Wagner ME, Aniceto GS, Schramm A, Grant MP, Chye LT, Calle AR (2018) Is there more to the clinical outcome in posttraumatic reconstruction of the inferior and medial orbital walls than accuracy of implant placement and implant surface contouring? A prospective multicenter study to identify predictors of clinical outcome. J Cranio-Maxillofac Surg 46(4):578–587CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  • Nils-Claudius Gellrich
    • 1
    Email author
  • Jan Dittmann
    • 1
  • Simon Spalthoff
    • 1
  • Philipp Jehn
    • 1
  • Frank Tavassol
    • 1
  • Rüdiger Zimmerer
    • 1
  1. 1.Hannover Medical SchoolHannoverGermany

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