Technology Guided Management of Orbital Trauma: A Systematic Review

Abstract

Abstract Background The use of technology in the surgical field has been increasing; however, the literature that studies the combination of these techniques is still scarce. Purpose This systematic review aims to identify the combination of the different technological tools currently available for surgical reconstruction of the orbit after trauma injury and determine the most common treatment alternatives. Methods A search following PRISMA criterios was carried out of articles published between January 2015 and December 2019 in PubMed, Embase, Scopus, and Ovid databases. The Mesh terms were orbit fracture, orbit trauma, computer-assisted surgery, surgical navigation system, navigation surgery, endoscopic surgical procedure, endoscopy, endoscope support, and patient-specific implants. The inclusion criteria were orbital trauma, articles that described the combination of technological tools, cases, case series, retrospective studies, and randomized clinical trials. Pediatric trauma management studies were excluded. To determine methodological quality and risk of bias the Joanna Briggs Institute Verification List (JBI) was used. The results were collected and presented in tables for easy interpretation. Results Of the articles found, 12 were finally chosen. Most of the articles (8) were case series, 2 were case reports, 1 was quasi-experimental, and 1 was a randomized clinical trial. A total of 418 patients were reported in all studies, and the most widely used tool was virtual planning, reported in 11 articles (91.6%). Virtual surgical planning in combination with intraoperative navigation was adopted by 9 articles (75%), being the most used combination of technologies. Conclusions Integration of virtual surgical planning, intraoperative navigation, patient-specific implants, and endoscopic techniques will help to improve the results significantly in the initial management of the orbital trauma. However, it is recommended in future studies that the results be evaluated in the same way to obtain more homogeneous studies.