title: Use of Virtual Surgical Planning for Simultaneous Maxillofacial Osteotomies and Custom Polyetheretherketone Implant in Secondary Orbito-Frontal Reconstruction: Importance of Restoring Orbital Volume.
abstract: Correction of orbito-frontal defects involves a multitude of surgical challenges, and requires careful and detailed planning. In the trauma setting, one must be prepared to deal with injuries to adjacent structures and be able to incorporate their repair into the surgical plan to maximize the functional and esthetic reconstruction for the benefit of the patient. Victims who have sustained trauma of the cranial complex in combination with mid-facial trauma, particularly involving the orbit, present a difficult scenario, especially when future ocular prosthetic rehabilitation is a concern. The authors present a patient of virtual surgical planning-guided planning of mid-facial osteotomies and custom implant creation for the secondary reconstruction of a patient who sustained extensive orbito-frontal trauma, requiring not only cranial vault recontouring, but also reconstruction of the mid-facial and orbital complex to accommodate an ocular prosthesis that would demonstrate proper anatomical relationships to maximize esthetics and function.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Neel
authors.initials: N
authors.lastname: Patel
authors.forename: Beomjune
authors.initials: B
authors.lastname: Kim
authors.forename: Waleed
authors.initials: W
authors.lastname: Zaid
mesh_terms: D001577:Benzophenones; D001672:Biocompatible Materials / Q000627:therapeutic use; D005137:Eye, Artificial; D005147:Facial Bones / Q000601:surgery*; D006801:Humans; D007659:Ketones / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009915:Orbit / Q000473:pathology*; D009929:Organ Size; D010027:Osteotomy / Q000379:methods; D010347:Patient Care Planning; D066230:Patient-Specific Modeling; D011092:Polyethylene Glycols / Q000627:therapeutic use*; D011108:Polymers; D017397:Prefrontal Cortex / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D019919:Prosthesis Implantation / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods
chemical_list: D001577:Benzophenones; D001672:Biocompatible Materials; D007659:Ketones; D011108:Polymers; C063834:polyetheretherketone; D011092:Polyethylene Glycols