title: Real Time Navigation-Assisted Orbital Wall Reconstruction in Blowout Fractures.
abstract: BACKGROUND
  Limitation in performing restoration of orbital structures is the narrow, deep, and dark surgical field, which makes it difficult to view the operative site directly. To avoid perioperative complications from this limitation, the authors have evaluated the usefulness of computer-assisted navigation techniques in surgical treatment of blowout fracture.
  
  
  METHODS
  Total 37 patients (14 medial orbital wall fractures and 23 inferior orbital wall fractures) with facial deformities had surgical treatment under the guide of navigation system between September 2012 and January 2015.
  
  
  RESULTS
  All 37 patients were treated successfully and safely with navigation-assisted surgery without any complications, including diplopia, retrobulbar hematoma, globe injury, implant migration, and blindness.
  
  
  CONCLUSIONS
  Blowout fracture can be treated safely under guidance of a surgical navigation system. In orbital surgery, navigation-assisted technology could give rise to improvements in the functional and aesthetic outcome and checking the position of the instruments on the surgical site in real time, without injuring important anatomic structures.
authors.affiliation: *Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon†Bongnam Public Healthcare Center, Gimje‡Jeongan Public Healthcare Center, Gongju, South Korea.
authors.forename: Ho Seong
authors.initials: HS
authors.lastname: Shin
authors.forename: Se Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Han Gyu
authors.initials: HG
authors.lastname: Cha
authors.forename: Ba Leun
authors.initials: BL
authors.lastname: Han
authors.forename: Seung Min
authors.initials: SM
authors.lastname: Nam
mesh_terms: D020341:Absorbable Implants; D001766:Blindness / Q000517:prevention & control; D001860:Bone Plates; D004172:Diplopia / Q000517:prevention & control; D004954:Esthetics; D005131:Eye Injuries / Q000517:prevention & control; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007431:Intraoperative Complications / Q000517:prevention & control; D009915:Orbit / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery*; D010347:Patient Care Planning; D011183:Postoperative Complications / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D019315:Retrobulbar Hemorrhage / Q000517:prevention & control; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014584:User-Computer Interface