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Video-assited and CT navigated reposition of an orbital blow-out fracture
Daniel Kovar, Zdenek Voldrich, Pavel Voska, Jan Lestak, Eva Drahokoupilova
Language English Country Czech Republic
Document type Case Reports, Research Support, Non-U.S. Gov't
- MeSH
- Adult MeSH
- Orbital Fractures * surgery MeSH
- Humans MeSH
- Manipulation, Orthopedic methods instrumentation MeSH
- Orbit * surgery radiography MeSH
- Tomography, X-Ray Computed MeSH
- Image Processing, Computer-Assisted MeSH
- Video-Assisted Surgery * MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
One possible use of CT navigated surgery in Otorinolaryngology includes traumatology of the facial skeleton. CT navigation enables a surgeon to assess the range and quality of reposition and fixation of a fracture, in our case the fracture of the orbital floor, using a navigated tube. We proceed from pre-operative CT of the paranasal sinuses images to navigation with 1,5-2,0 mm incisions and subsequent registration. Formerly, we used mainly transantral approach at our department, while currently we prefer subciliar approach with the use of absorbable materials (PDS or PMR splint). We use a rigid endoscope for infraorbital nerve decompression and delicate removal of free bone fragments from the maxillary sinus. We applied this procedure in 2 patients. We verified the range of decompression, degree of reposition of the orbital blow-out fracture, and placement of PMR splint and titanium grid using video navigation.
3nd Faculty of Medicine Prague Charles University
Central Military Hospital Prague
Faculty of Medicine in Hradec Králové Charles University
Faculty of Military Health Science in Hradec Králové University of Defence
Literatura
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