Copelli C, Manfuso A, d'Ecclesia A, Catanzaro S, Cassano L, Pederneschi N, Tewfik Hanna K, Cocchi R
Operative Unit of Maxillo-Facial Surgery, Otolaryngology and Dentistry, Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo (Fg), Italy.
Operative Unit of Maxillo-Facial Surgery, Federico II University, Naples, Italy.
J Craniomaxillofac Surg. 2015 Dec;43(10):1974-8. doi: 10.1016/j.jcms.2015.10.007. Epub 2015 Oct 22.
The aim of this study is to describe the reduction of medial orbital wall fractures using a combination of two different techniques: the endoscopic reduction and the navigation aided reconstruction. The endoscopic approach avoids an external incision and allows the observation of the fracture site clearly. Navigation-aided reconstruction is essential to achieve precise and predictable results in orbital reconstruction. It consists in an ideal virtual reconstruction of the target area created using a mirroring tool, and superimposing and comparing the unaffected and the affected sides. This technique opens a broad spectrum of possible surgical approaches, especially in situations in which anatomical landmarks for precise positioning of bone fragments, or bone grafts, are missing. This study is the first to combine these two techniques. The study was carried out in seven patients who underwent endoscopic reduction of isolated blowout fractures of the medial orbital wall and navigation-aided reconstruction at the authors' institution. This pilot study clearly shows that a combination of the endoscopic reduction and the navigation-aided reconstruction provides functional results and great advantages in terms of anatomical preservation and postoperative morbidity.
内镜下复位和导航辅助重建。内镜入路避免了外部切口，并能清晰观察骨折部位。导航辅助重建对于在眼眶重建中获得精确且可预测的结果至关重要。它包括使用镜像工具对目标区域进行理想的虚拟重建，并对未受影响侧和受影响侧进行叠加和比较。该技术开辟了广泛的可能手术入路，特别是在缺少用于精确放置骨碎片或骨移植的解剖标志的情况下。本研究是首次将这两种技术结合。该研究在作者所在机构对7例接受眶内侧壁孤立性爆裂骨折内镜下复位和导航辅助重建的患者进行。这项初步研究清楚地表明，内镜下复位和导航辅助重建相结合在功能结果以及解剖结构保留和术后发病率方面具有显著优势。
