Skip to main content
SpringerLink
Log in

Funktionserhaltende Rekonstruktion nach Orbitatrauma

Function-retaining reconstruction after orbital trauma

  • Leitthema
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

Zusammenfassung

Die präzise anatomische Rekonstruktion ausgedehnter Frakturen der Orbita stellt eine Herausforderung für den Chirurgen dar. Computerassistierte Techniken, anatomisch präformierte Implantate und die Möglichkeit der intraoperativen Bildgebung mittels digitaler Volumentomographie stellen einen neuen Standard in der primären und sekundären Orbitarekonstruktion dar. In diesem Übersichtsbeitrag sollen diese Verfahren dargestellt werden.

Abstract

Precise anatomical reconstruction of extensive orbital fractures is a challenging procedure for surgeons. Computer-assisted technologies, anatomical preformed implants and the possibility of acquiring 3D images using cone beam computed tomography are considered as the new standards. In this short review these applications are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Appling WD, Patrinely JR, Salzer TA (1993) Transconjunctival approach vs subciliary skin-muscle flap approach for orbital fracture repair. Arch Otolaryngol Head Neck Surg 119:1000–1007

    PubMed  CAS  Google Scholar 

  2. Burnstine MA (2002) Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis. Ophthalmology 109:1207–1210; discussion 1210–1201; quiz 1212–1203

    Article  PubMed  Google Scholar 

  3. Courtney DJ, Thomas S, Whitfield PH (2000) Isolated orbital blowout fractures: survey and review. Br J Oral Maxillofac Surg 38:496–504

    Article  PubMed  CAS  Google Scholar 

  4. Daly MJ, Siewerdsen JH, Moseley DJ et al (2006) Intraoperative cone-beam CT for guidance of head and neck surgery: assessment of dose and image quality using a C-arm prototype. Med Phys 33:3767–3780

    Article  PubMed  CAS  Google Scholar 

  5. Dietz A, Ziegler CM, Dacho A et al (2001) Effectiveness of a new perforated 0.15 mm poly-p-dioxanon-foil versus titanium-dynamic mesh in reconstruction of the orbital floor. J Craniomaxillofac Surg 29:82–88

    PubMed  CAS  Google Scholar 

  6. Ellis E 3rd, Tan Y (2003) Assessment of internal orbital reconstructions for pure blowout fractures: cranial bone grafts versus titanium mesh. J Oral Maxillofac Surg 61:442–453

    Article  PubMed  Google Scholar 

  7. Gear AJ, Lokeh A, Aldridge JH et al (2002) Safety of titanium mesh for orbital reconstruction. Ann Plast Surg 48:1–7; discussion 7–9

    Article  PubMed  Google Scholar 

  8. Gellrich NC, Suarez-Cunqueiro MM, Bremerich A et al (2003) Characteristics of oral cancer in a central European population: defining the dentist’s role. J Am Dent Assoc 134:307–314; quiz 338

    PubMed  Google Scholar 

  9. Gilbard SM (1987) Management of orbital blowout fractures: the prognostic significance of computed tomography. Adv Ophthalmic Plast Reconstr Surg 6:269–280

    PubMed  CAS  Google Scholar 

  10. Gilbard SM, Mafee MF, Lagouros PA et al (1985) Orbital blowout fractures. The prognostic significance of computed tomography. Ophthalmology 92:1523–1528

    PubMed  CAS  Google Scholar 

  11. Glassman RD, Manson PN, Vanderkolk CA et al (1990) Rigid fixation of internal orbital fractures. Plast Reconstr Surg 86:1103–1109; discussion 1110–1101

    Article  PubMed  CAS  Google Scholar 

  12. Herzog M, Sader R, Zeilhofer F et al (1994) Functional and esthetic results after reconstruction of orbital walls. Fortschr Kiefer Gesichtschir 39:56–58

    PubMed  CAS  Google Scholar 

  13. Lorenz HP, Longaker MT, Kawamoto HK Jr (1999) Primary and secondary orbit surgery: the transconjunctival approach. Plast Reconstr Surg 103:1124–1128

    Article  PubMed  CAS  Google Scholar 

  14. Metzger MC, Hohlweg-Majert B, Schon R et al (2007) Verification of clinical precision after computer-aided reconstruction in craniomaxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:e1–10

    Article  PubMed  Google Scholar 

  15. Metzger MC, Schon R, Schmelzeisen R (2007) Preformed titanium meshes: a new standard? Skull Base 17:269–272

    Article  PubMed  Google Scholar 

  16. Metzger MC, Schon R, Tetzlaf R et al (2007) Topographical CT-data analysis of the human orbital floor. Int J Oral Maxillofac Surg 36:45–53

    Article  PubMed  CAS  Google Scholar 

  17. Mullins JB, Holds JB, Branham GH et al (1997) Complications of the transconjunctival approach. A review of 400 cases. Arch Otolaryngol Head Neck Surg 123:385–388

    PubMed  CAS  Google Scholar 

  18. Nishida Y, Hayashi O, Miyake T et al (2004) Quantitative evaluation of ocular motility in blow-out fractures for selection of nonsurgically managed cases. Am J Ophthalmol 137:777–779

    PubMed  Google Scholar 

  19. Patel BC, Hoffmann J (1998) Management of complex orbital fractures. Facial Plast Surg 14:83–104

    Article  PubMed  CAS  Google Scholar 

  20. Ploder O, Klug C, Voracek M et al (2002) Evaluation of computer-based area and volume measurement from coronal computed tomography scans in isolated blowout fractures of the orbital floor. J Oral Maxillofac Surg 60:1267–1272; discussion 1273–1264

    Article  PubMed  Google Scholar 

  21. Potter JK, Ellis E (2004) Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg 62:1280–1297

    Article  PubMed  Google Scholar 

  22. Putterman AM, Stevens T, Urist MJ (1974) Nonsurgical management of blow-out fractures of the orbital floor. Am J Ophthalmol 77:232–239

    PubMed  CAS  Google Scholar 

  23. Rafferty MA, Siewerdsen JH, Chan Y et al (2006) Intraoperative cone-beam CT for guidance of temporal bone surgery. Otolaryngol Head Neck Surg 134:801–808

    Article  PubMed  Google Scholar 

  24. Wachler BS, Holds JB (1998) The missing muscle syndrome in blowout fractures: an indication for urgent surgery. Ophthal Plast Reconstr Surg 14:17–18

    Article  PubMed  CAS  Google Scholar 

  25. Whitehouse RW, Batterbury M, Jackson A et al (1994) Prediction of enophthalmos by computed tomography after „blow out“ orbital fracture. Br J Ophthalmol 78:618–620

    Article  PubMed  CAS  Google Scholar 

  26. Yano H, Nakano M, Anraku K et al (2009) A consecutive case review of orbital blowout fractures and recommendations for comprehensive management. Plast Reconstr Surg 124:602–611

    Article  PubMed  CAS  Google Scholar 

  27. Yenice O, Ogut MS, Onal S et al (2006) Conservative treatment of isolated medial orbital wall fractures. Ophthalmic Surg Lasers Imaging 37:497–501

    PubMed  Google Scholar 

  28. Zingg M, Chowdhury K, Ladrach K et al (1991) Treatment of 813 zygoma-lateral orbital complex fractures. New aspects. Arch Otolaryngol Head Neck Surg 117:611–620; discussion 621–612

    PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Kooperationsvertrag mit der Firma Synthes.

Author information

Authors and Affiliations

  1. Abteilung für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Freiburg, Hugstetterstr. 55, 79106, Freiburg, Deutschland

    M.C. Metzger

  2. Universitäts-Augenklinik Freiburg, Freiburg, Deutschland

    W.A. Lagrèze

  3. Abteilung für Mund-, Kiefer-, und Gesichtschirurgie, St. Josephshospital, Krefeld-Uerdingen, Deutschland

    R. Schön

  4. Orbitazentrum am Universitätsklinikum Freiburg, Freiburg, Deutschland

    M.C. Metzger, W.A. Lagrèze & R. Schön

Authors
  1. M.C. Metzger
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W.A. Lagrèze
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Schön
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M.C. Metzger.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Metzger, M., Lagrèze, W. & Schön, R. Funktionserhaltende Rekonstruktion nach Orbitatrauma. Ophthalmologe 108, 540–545 (2011). https://doi.org/10.1007/s00347-010-2193-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-010-2193-9

Schlüsselwörter

Keywords

Search

Navigation