Surgical Treatment of Solitary Orbital Wall Fractures

Author:

Dubois Leander,Sabelis Juliana F.,Jansen Jesper,Maal Thomas J. J.,Schreurs Ruud

Abstract

AbstractThis chapter focuses on the preparation, execution, and evaluation of orbital reconstruction, once the indication for surgery has been established. A logical order in the surgical decision-making process is created with the help of a step-wise approach, starting with timing and biomaterials considerations. The virtual treatment planning is described and how it affects the choice for a preformed or patient-specific implants. A detailed explanation of the transconjunctival approach is provided, and the role of key anatomical landmarks in the dissection and reconstruction is reviewed. The rationale behind and indications for surgical navigation and intra-operative imaging are discussed. A clinical example is provided to demonstrate the potential of the advanced workflow discussed in this chapter.

Publisher

Springer International Publishing

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