Burger Thomas, Fan Kathleen, Brokmeier Johannes, Thieringer Florian M, Berg Britt-Isabelle
Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland.
Faculty of Medicine, University of Basel, Basel, Switzerland.
Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):NP60-NP67. doi: 10.1177/19433875241245498. Epub 2024 Apr 18.
N/A.
This study investigated the different ways of orbital floor reconstruction with special focus on reconstruction materials, imaging modalities (intra-/ post-operative), 3D printing and navigation.
The heads of all governmental-run or associated cranio-maxillofacial surgery units in Switzerland, Austria and Germany were asked in person or received an email link for an online survey with 12 questions.
The return rate was 57%. The most often selected number of reconstructions was between 10 and 50 per year. Resorbable polydioxanone (PDS) foils (41%) and titanium mesh (18 %) were most often used to reconstruct the orbital floor. 31% use 3D Navigation intraoperative. Post-operative imaging was most often performed with CBCT (34.5%) in patients without complications, whereas CT scans were most often performed (63.3%) in patients with persisting complications. In total, 27% stated that they never use preformed orbital plates, and the remaining units use them more or less regularly. 48% have access to a 3D printer and 75% of the respondents use patient specific implants.
The majority of the participating units prefer to use resorbable material for the reconstruction of the orbital floor defects. 3D printing facilities are not available in the majority of units, but it can be expected that the number of units with 3D printing facilities will rise in the near future.
无。
本研究调查了眼眶底重建的不同方法，特别关注重建材料、成像方式（术中/术后）、3D打印和导航。
亲自询问了瑞士、奥地利和德国所有政府运营或相关的颅颌面外科单位的负责人，或向他们发送了一个包含12个问题的在线调查问卷链接。
回复率为57%。最常选择的每年重建次数在10至50次之间。可吸收的聚二氧六环酮（PDS）箔（41%）和钛网（18%）最常用于重建眼眶底。31%的人术中使用3D导航。对于无并发症的患者，术后成像最常采用CBCT（34.5%），而对于仍有并发症的患者，最常进行CT扫描（63.3%）。总体而言，27%的人表示他们从不使用预制眼眶板，其余单位或多或少定期使用。48%的单位可以使用3D打印机，75%的受访者使用定制植入物。
大多数参与单位倾向于使用可吸收材料来重建眼眶底缺损。大多数单位没有3D打印设备，但预计在不久的将来，拥有3D打印设备的单位数量将会增加。
