title: Utilization of intraoperative 3D navigation for delayed reconstruction of orbitozygomatic complex fractures.
abstract: Reconstructive goals for orbitozygomaticomaxillary complex fractures include restoration of orbital volume, facial projection, and facial width. Delayed reconstruction is made more difficult by malunion, nonunion, bony absorption, loss of the soft tissue envelope, and scar. Three-dimensional intraoperative navigation, widely used in neurosurgery and sinus surgery, can improve the accuracy with which bony reduction is performed. This is particularly useful in the setting of bony absorption and comminution. We report a case of delayed reconstruction of an orbitozygomaticomaxillary complex fracture using intraoperative navigation and review this technology's utility in this setting.
authors.affiliation: Division of Plastic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island 02905, USA.
authors.forename: Clinton S
authors.initials: CS
authors.lastname: Morrison
authors.forename: Helena O
authors.initials: HO
authors.lastname: Taylor
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Sullivan
mesh_terms: D001672:Biocompatible Materials / Q000737:chemistry; D001860:Bone Plates; D001864:Bone Wires; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D018460:Fractures, Comminuted / Q000601:surgery*; D005599:Fractures, Ununited / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007430:Intraoperative Care; D008297:Male; D008440:Maxillary Fractures / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery*; D020959:Polyethylene / Q000737:chemistry; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014025:Titanium / Q000737:chemistry; D014948:Wounds, Gunshot / Q000601:surgery; D055815:Young Adult; D015051:Zygomatic Fractures / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; D020959:Polyethylene; D014025:Titanium