Complex Orbital Fractures: Three-Dimensional Planning and Combined Surgical Approach

Nowadays the development of diagnostic imaging, surgical techniques, alloplastic materials, and surgical instruments has made possible a more accurate management of orbital fractures. The aim of the present study was the management of orbital fractures and the solution of particular cases. The use of high-resolution computed tomography makes possible to gain a better understanding of the complex orbit anatomical structure. Also endoscopy is a valid alternative for medial orbital wall fractures treatment. It gives high control of the fracture site and its reduction. When this technology is combined with 3-dimensional (3D) reformatted images, it allows us to reconstruct more accurately the orbital defects. The authors present their experience in complex orbital fractures treated with the aim of the 3D navigation using a preformed orbital titanium plate. Endosopical approach was used to control plate positioning. Address correspondence and reprint requests to Marco Cicciù, DDS, PhD, Associate Professor, Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, Messina University, and School of Dentistry, University of Messina, Policlinico G Martino, Via Consolare Valeria, 98100 ME, Italy; E-mail: acromarco@yahoo.it Received 17 March, 2018 Accepted 7 August, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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