IPS® WEBucation Series: Individual Patient-specific Solutions for Primary Orbital Reconstruction
Featuring Prof. Dr. Dr. Alexander Schramm from University Hospital Ulm
May 20, 2020
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Correcting complex orbital and periorbital fractures remains a challenge firstly in the diagnostic evaluation of the deformity, secondly in setting up the therapeutic schedule and thirdly in the surgical correction itself. Advances in imaging techniques and associated technologies have led within the past years to improved preoperative planning for the cranio-maxillofacial surgeon. Preoperative simulation, intraoperative navigation and intraoperative imaging in our clinical center serve for digital impacts in facial reconstruction. New software developments for automatic bone segmentation of standard CT data sets dramatically reduce the time period for preoperative planning in virtual facial reconstruction. Combining this tool with mirroring of segmented areas of the facial skeleton achieves instant virtual reconstruction and allows direct production of customized implants for complex orbital and midface defects. The resulting virtual model together with intraoperative navigation and intraoperative CT imaging guides the reconstructive procedure and positioning of these implants to the desired result. Computer-assisted surgery techniques have improved operator’s confidence in facial reconstruction. Especially the use of intraoperative imaging and patient-specific implants enables detailed intraoperative evaluation and reliable outcomes in facial reconstruction.