Virtual Surgical Planning for Orbital Reconstruction.

Srinivas M Susarla, Katherine Duncan, Nicholas R Mahoney, Shannath L Merbs, Michael P Grant
Author Information
  1. Srinivas M Susarla: Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
  2. Katherine Duncan: Department of Ophthalmology, University of Maryland Medical Center, Baltimore, MD, USA.
  3. Nicholas R Mahoney: Department of Ophthalmology, Division of Oculoplastic Surgery, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
  4. Shannath L Merbs: Department of Ophthalmology, Division of Oculoplastic Surgery, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
  5. Michael P Grant: Department of Plastic and Reconstructive Surgery and Department of Ophthalmology, Division of Oculoplastic Surgery, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.

Abstract

The advent of computer-assisted technology has revolutionized planning for complex craniofacial operations, including orbital reconstruction. Orbital reconstruction is ideally suited for virtual planning, as it allows the surgeon to assess the bony anatomy and critical neurovascular structures within the orbit, and plan osteotomies, fracture reductions, and orbital implant placement with efficiency and predictability. In this article, we review the use of virtual surgical planning for orbital decompression, posttraumatic midface reconstruction, reconstruction of a two-wall orbital defect, and reconstruction of a large orbital floor defect with a custom implant. The surgeon managing orbital pathology and posttraumatic orbital deformities can benefit immensely from utilizing virtual planning for various types of orbital pathology.

Keywords

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MeSH Term

Computer Simulation
Humans
Orbit
Orbital Fractures
Patient Care Planning
Prostheses and Implants
Plastic Surgery Procedures
User-Computer Interface

Word Cloud

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