Application of Computer-Aided Designing and Rapid Prototyping Technologies in Reconstruction of Blowout Fractures of the Orbital Floor
Samo za registrovane korisnike
2015
Autori
Tabaković, Saša Z.Konstantinović, Vitomir
Radosavljević, Radivoje
Movrin, Dejan
Hadžistević, Miodrag
Hatab, Nur
Članak u časopisu (Objavljena verzija)
Metapodaci
Prikaz svih podataka o dokumentuApstrakt
Introduction: Traumatology of the maxillofacial region represents a wide range of different types of facial skeletal injuries and encompasses numerous treatment methods. Application of computer-aided design (CAD) in combination with rapid prototyping (RP) technologies and three-dimensional computed tomography techniques facilitates surgical therapy planning for efficient treatment. Objective: The purpose of this study is to determine the efficiency of individually designed implants of poly-DL-lactide (PDLLA) in the reconstruction of blowout fractures of the orbital floor. Methods: In the course of a surgical treatment, individually designed implants manufactured by CAD/RP technologies were used. Preoperative analysis and postoperative monitoring were conducted to evaluate the successfulness of orbital floor reconstruction using customized PDLLA implants, based on: presence of diplopia, paresthesia of infraorbital nerve, and presence of enophthalmos. Results: In 6 of the 10 patients, di...plopia completely disappeared immediately after surgical procedure. Diplopia gradually disappeared after 1 month in 3 patients, whereas in 1, it remained even after 6 months. In 7 patients, paresthesia disappeared within a month after surgery and in 3 patients within 2 months. Postoperative average Orbital volume (OV) of the injured side (13.333 +/- 3.177) was significantly reduced in comparison with preoperative OV (15.847 +/- 3.361) after reconstruction of the orbital floor with customized PDLLA implant (P lt 0.001). Thus, average OV of corrected orbit was not different compared with the OV of the uninjured orbit (P = 0.981). Conclusions: Reconstruction of blowout fractures of the orbital floor by an individually designed PDLLA implant combined with virtual preoperative modeling allows easier preoperative preparation and yields satisfactory functional and esthetic outcomes.
Ključne reči:
Blowout fracture / computer-aided design / orbital reconstruction / poly-DL-lactide implant / rapid prototyping / threedimensional printingIzvor:
Journal of Craniofacial Surgery, 2015, 26, 5, 1558-1563Izdavač:
- Lippincott Williams & Wilkins, Philadelphia
Finansiranje / projekti:
- Genetička kontrola i molekularni mehanizmi u malignim, inflamatornim i razvojnim patologijama orofacijalne regije (RS-MESTD-Basic Research (BR or ON)-175075)
DOI: 10.1097/SCS.0000000000001883
ISSN: 1049-2275
PubMed: 26125649
WoS: 000369611000068
Scopus: 2-s2.0-84988884432
Kolekcije
Institucija/grupa
Stomatološki fakultetTY - JOUR AU - Tabaković, Saša Z. AU - Konstantinović, Vitomir AU - Radosavljević, Radivoje AU - Movrin, Dejan AU - Hadžistević, Miodrag AU - Hatab, Nur PY - 2015 UR - https://smile.stomf.bg.ac.rs/handle/123456789/2005 AB - Introduction: Traumatology of the maxillofacial region represents a wide range of different types of facial skeletal injuries and encompasses numerous treatment methods. Application of computer-aided design (CAD) in combination with rapid prototyping (RP) technologies and three-dimensional computed tomography techniques facilitates surgical therapy planning for efficient treatment. Objective: The purpose of this study is to determine the efficiency of individually designed implants of poly-DL-lactide (PDLLA) in the reconstruction of blowout fractures of the orbital floor. Methods: In the course of a surgical treatment, individually designed implants manufactured by CAD/RP technologies were used. Preoperative analysis and postoperative monitoring were conducted to evaluate the successfulness of orbital floor reconstruction using customized PDLLA implants, based on: presence of diplopia, paresthesia of infraorbital nerve, and presence of enophthalmos. Results: In 6 of the 10 patients, diplopia completely disappeared immediately after surgical procedure. Diplopia gradually disappeared after 1 month in 3 patients, whereas in 1, it remained even after 6 months. In 7 patients, paresthesia disappeared within a month after surgery and in 3 patients within 2 months. Postoperative average Orbital volume (OV) of the injured side (13.333 +/- 3.177) was significantly reduced in comparison with preoperative OV (15.847 +/- 3.361) after reconstruction of the orbital floor with customized PDLLA implant (P lt 0.001). Thus, average OV of corrected orbit was not different compared with the OV of the uninjured orbit (P = 0.981). Conclusions: Reconstruction of blowout fractures of the orbital floor by an individually designed PDLLA implant combined with virtual preoperative modeling allows easier preoperative preparation and yields satisfactory functional and esthetic outcomes. PB - Lippincott Williams & Wilkins, Philadelphia T2 - Journal of Craniofacial Surgery T1 - Application of Computer-Aided Designing and Rapid Prototyping Technologies in Reconstruction of Blowout Fractures of the Orbital Floor VL - 26 IS - 5 SP - 1558 EP - 1563 DO - 10.1097/SCS.0000000000001883 ER -
@article{ author = "Tabaković, Saša Z. and Konstantinović, Vitomir and Radosavljević, Radivoje and Movrin, Dejan and Hadžistević, Miodrag and Hatab, Nur", year = "2015", abstract = "Introduction: Traumatology of the maxillofacial region represents a wide range of different types of facial skeletal injuries and encompasses numerous treatment methods. Application of computer-aided design (CAD) in combination with rapid prototyping (RP) technologies and three-dimensional computed tomography techniques facilitates surgical therapy planning for efficient treatment. Objective: The purpose of this study is to determine the efficiency of individually designed implants of poly-DL-lactide (PDLLA) in the reconstruction of blowout fractures of the orbital floor. Methods: In the course of a surgical treatment, individually designed implants manufactured by CAD/RP technologies were used. Preoperative analysis and postoperative monitoring were conducted to evaluate the successfulness of orbital floor reconstruction using customized PDLLA implants, based on: presence of diplopia, paresthesia of infraorbital nerve, and presence of enophthalmos. Results: In 6 of the 10 patients, diplopia completely disappeared immediately after surgical procedure. Diplopia gradually disappeared after 1 month in 3 patients, whereas in 1, it remained even after 6 months. In 7 patients, paresthesia disappeared within a month after surgery and in 3 patients within 2 months. Postoperative average Orbital volume (OV) of the injured side (13.333 +/- 3.177) was significantly reduced in comparison with preoperative OV (15.847 +/- 3.361) after reconstruction of the orbital floor with customized PDLLA implant (P lt 0.001). Thus, average OV of corrected orbit was not different compared with the OV of the uninjured orbit (P = 0.981). Conclusions: Reconstruction of blowout fractures of the orbital floor by an individually designed PDLLA implant combined with virtual preoperative modeling allows easier preoperative preparation and yields satisfactory functional and esthetic outcomes.", publisher = "Lippincott Williams & Wilkins, Philadelphia", journal = "Journal of Craniofacial Surgery", title = "Application of Computer-Aided Designing and Rapid Prototyping Technologies in Reconstruction of Blowout Fractures of the Orbital Floor", volume = "26", number = "5", pages = "1558-1563", doi = "10.1097/SCS.0000000000001883" }
Tabaković, S. Z., Konstantinović, V., Radosavljević, R., Movrin, D., Hadžistević, M.,& Hatab, N.. (2015). Application of Computer-Aided Designing and Rapid Prototyping Technologies in Reconstruction of Blowout Fractures of the Orbital Floor. in Journal of Craniofacial Surgery Lippincott Williams & Wilkins, Philadelphia., 26(5), 1558-1563. https://doi.org/10.1097/SCS.0000000000001883
Tabaković SZ, Konstantinović V, Radosavljević R, Movrin D, Hadžistević M, Hatab N. Application of Computer-Aided Designing and Rapid Prototyping Technologies in Reconstruction of Blowout Fractures of the Orbital Floor. in Journal of Craniofacial Surgery. 2015;26(5):1558-1563. doi:10.1097/SCS.0000000000001883 .
Tabaković, Saša Z., Konstantinović, Vitomir, Radosavljević, Radivoje, Movrin, Dejan, Hadžistević, Miodrag, Hatab, Nur, "Application of Computer-Aided Designing and Rapid Prototyping Technologies in Reconstruction of Blowout Fractures of the Orbital Floor" in Journal of Craniofacial Surgery, 26, no. 5 (2015):1558-1563, https://doi.org/10.1097/SCS.0000000000001883 . .