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Commentary
September 2003

Computer-Assisted Reconstruction of the Facial Skeleton

Author Affiliations

University of Freiberg
Department of Oral/Maxillofacial Surgery
Hugstetter Str 55
79106 Freiburg, Germany
(e-mail: schramm@zmk2.ukl.uni-freiburg.de)

 

University of Freiberg
 Department of Oral/Maxillofacial Surgery
 Hugstetter Str 55
 79106 Freiburg, Germany
 (e-mail: schramm@zmk2.ukl.uni-freiburg.de)


Arch Facial Plast Surg. 2003;5(5):437. doi:10.1001/archfaci.5.5.437

CORRECTIONS of complex orbital deformities are still a surgical challenge. Side symmetry provides an important morphological goal (ie, why a face appears as normal or harmonic) as well as function (eg, by allowing for binocular vision with central fusion of the efferent visual impulses). Orbital symmetry cannot be reduced to 1 facial plane. It might include 2 or even all 3 planes, which define the enophthalmos or exophthalmos, distorted orbit, and teleorbitism. Among the presurgical planning modalities, computer-assisted surgery is regarded as an interesting technique. Because of the insufficiency of registration systems or invasive referencing procedures, the combination of preoperative planning, virtual correction, intraoperative navigation, and postoperative control has not become a routine procedure in the treatment of orbital deformities, yet.

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