Moe Kris S, Murr Andrew H, Wester Sara Tullis
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Washington School of Medicine, Seattle, WA, USA; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA, USA.
Department of Otolaryngology-Head and Surgery, University of California, San Francisco, School of Medicine, San Francisco, CA, USA.
Facial Plast Surg Clin North Am. 2018 May;26(2):237-251. doi: 10.1016/j.fsc.2017.12.007.
Anatomic, rather than volumetric, reconstruction leads to improved outcomes in orbital reconstruction. Endoscopic visualization improves lighting and magnification of the surgical site and allows the entire operative team to understand and participate in the procedure. Mirror-image overlay display with navigation-guided surgery allows in situ fine adjustment of the implant contours to match the contralateral uninjured orbit. Precise exophthalmometry is important before, during, and after surgery to provide optimal surgical results.
解剖学重建而非容积重建可改善眼眶重建的效果。内镜可视化改善了手术部位的照明和放大效果,并使整个手术团队能够理解并参与手术过程。导航引导手术的镜像叠加显示允许对植入物轮廓进行原位微调,以匹配对侧未受伤的眼眶。精确的眼球突出度测量在手术前、手术中和手术后都很重要,以提供最佳的手术效果。