AO Research Institute Davos, Davos Platz, Switzerland.
Int J Oral Maxillofac Surg. 2010 Jul;39(7):666-72. doi: 10.1016/j.ijom.2010.03.005. Epub 2010 Apr 24.
Inter-individual size and shape (form) variation for the orbital floor and medial wall was assessed and compared with its posterior partition. Reconstruction of the posterior partition is known to be a surgical challenge in complex orbital defect repair when using standard manual implant contouring and positioning techniques. The size variation of both regions was assessed, alone and combined, in statistical form analysis using three-dimensional computer models of left and mirrored right orbits, obtained from 70 clinical computed tomography (CT) scans of adult European Caucasians with unaffected orbits. Major shape and size variability for both regions was observed, but to a larger extent for the entire orbital floor and medial wall, with males having significantly larger regions but with no differing shape patterns. Statistical modeling was used to identify characteristic shape patterns in given orbits. The size, shape and positioning of precontoured implants are decisive criteria for the adequate repair of complex orbital defects. The results indicate that optimal form conditions for prefabricated implants exist in a restricted area corresponding to the transition of the posterior orbital floor and medial wall.
个体间眶底和内侧壁的大小和形状(形态)差异进行了评估,并与眶后部进行了比较。在使用标准的手动植入物轮廓和定位技术修复复杂的眶部缺损时,已知眶后部的重建是一项具有挑战性的手术。使用来自 70 例无眶部病变的成年欧洲白种人的左和镜像右眶的三维计算机模型,以统计学形式分析了这两个区域的单独和联合的大小变化。观察到两个区域都存在主要的形状和大小变异性,但眶底和内侧壁的变异性更大,男性的区域明显更大,但形状模式没有差异。统计建模用于确定特定眶部的特征形状模式。预制植入物的大小、形状和定位是修复复杂眶部缺损的决定性标准。结果表明,预制植入物的最佳形态条件存在于与眶底和内侧壁后部交界处相对应的有限区域内。
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