Facial plast Surg 2014; 30(05): 554-560
DOI: 10.1055/s-0034-1395211
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Orbital Reconstruction: Prefabricated Implants, Data Transfer, and Revision Surgery

Gido Bittermann
1  Department of Oral and Maxillofacial Surgery and Regional Plastic Surgery, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
,
Marc Christian Metzger
1  Department of Oral and Maxillofacial Surgery and Regional Plastic Surgery, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
,
Stefan Schlager
2  Biological Anthropology, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
,
Wolf Alexander Lagrèze
3  Eye Center, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
,
Nikolai Gross
3  Eye Center, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
,
Carl-Peter Cornelius
4  Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University Munich, Germany
,
Rainer Schmelzeisen
1  Department of Oral and Maxillofacial Surgery and Regional Plastic Surgery, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
14 November 2014 (online)

Abstract

External impact to the orbit may cause a blowout or zygomatico-maxillary fractures. Diagnosis and treatment of orbital wall fractures are based on both physical examination and computed tomography scan of the orbit. Injuries of the orbit often require a reconstruction of its orbital walls. Using computer-assisted techniques, anatomically preformed orbital implants, and intraoperative imaging offers precise and predictable results of orbital reconstructions. Secondary reconstruction of the orbital cavity is challenging due to fractures healed in malposition, defects, scarring, and lack of anatomic landmarks, and should be avoided by precise primary reconstruction. The development of preformed orbital implants based on topographical analysis of the orbital cavity was a milestone for the improvement of primary orbital reconstruction.