“…The surgical treatment of ORH is complicated by the long operating time, high bleeding, and high surgical risk in infants and children. 3 , 11 The use of digital software for preoperative surgical planning allows the surgeon to try multiple surgical options and osteotomy paths to avoid damaging essential tissues and obtain the results of different surgical options in advance to find the best surgical solution. The process performed during the actual surgery would significantly increase the risk of surgery.…”
Orbital hypertelorism correction is still a less precise procedure, with a simple preoperative design and surgical results often depending on the operator’s experience. In recent years, computer-assisted technology has been fully utilized in craniofacial surgery. This article aims to explore the clinical results of computer-assisted technology in orbital hypertelorism correction and discuss its advantages and effects on treatment. Four patients with orbital hypertelorism underwent intracranial and extracranial combined box osteotomy correction. Preoperative computed tomography scans were performed, and 3-dimensional 3D digital technology was used to measure the orbital spacing, virtually design the 3D cutting scheme, and guide the intraoperative 3D cutting to improve the accuracy of periorbital osteotomy and reduce the surgical risk. Four patients underwent successful surgery, and the average distance of the medial orbital wall was decreased from 43.6 to 23.4 mm. Computer-assisted box osteotomy shortens the operative time and provides better corrective results.
“…The surgical treatment of ORH is complicated by the long operating time, high bleeding, and high surgical risk in infants and children. 3 , 11 The use of digital software for preoperative surgical planning allows the surgeon to try multiple surgical options and osteotomy paths to avoid damaging essential tissues and obtain the results of different surgical options in advance to find the best surgical solution. The process performed during the actual surgery would significantly increase the risk of surgery.…”
Orbital hypertelorism correction is still a less precise procedure, with a simple preoperative design and surgical results often depending on the operator’s experience. In recent years, computer-assisted technology has been fully utilized in craniofacial surgery. This article aims to explore the clinical results of computer-assisted technology in orbital hypertelorism correction and discuss its advantages and effects on treatment. Four patients with orbital hypertelorism underwent intracranial and extracranial combined box osteotomy correction. Preoperative computed tomography scans were performed, and 3-dimensional 3D digital technology was used to measure the orbital spacing, virtually design the 3D cutting scheme, and guide the intraoperative 3D cutting to improve the accuracy of periorbital osteotomy and reduce the surgical risk. Four patients underwent successful surgery, and the average distance of the medial orbital wall was decreased from 43.6 to 23.4 mm. Computer-assisted box osteotomy shortens the operative time and provides better corrective results.
“…The etiology of hypertelorism partly influences this challenge. [11][12][13]62 During the medial orbital wall osteotomy and subsequent manipulation in this area, protecting the medial canthal tendon attachments is paramount. Adherence to this practice enhances the medialization of the soft tissue.…”
The field of frontofacial surgery has advanced considerably, building on the pioneering techniques of Paul Tessier, with computerized surgical planning (CSP) emerging as a critical component. CSP has enhanced the precision and efficiency of surgeries for craniofacial dysostoses and hypertelorism, resulting in improved outcomes. This review delves into the importance of understanding orbital anatomy and the crucial bony and soft tissue landmarks essential to the application of CSP in frontofacial procedures, encompassing Le Fort III and monobloc advancements, as well as the correction of hypertelorism.
“…provide an example of simulated images used in a case of hypertelorism using facial bipartition to shorten the inter-orbital distance and to increase maxillary width (Laure et al, 2019).…”
Section: Preoperative 3d Planning In Hypertelorism Surgerymentioning
Background: simulation and three-dimensional visualization of object motion is a prerequisite for any surgical planning system. Orbital hypertelorism is a disease, which is most commonly associated with craniofacial malformations. We have developed a surgical planning system for planning and evaluation of orbital hypertelorism surgery. In our system CT-based virtual surface models fitted by oriented bounding boxes (OBB) are manipulated. Three-dimensional motion as well as a correction surgery can be simulated. Both are controlled by collision detection. The computer-based interactive surgery simulation systems (CISSS) presented here can take virtual surgical operation and forecast facial features after the correction of orbital hypertelorism.
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