ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2021
A retrospective study to compare the treatment outcomes with and without surgical navigation for fracture of the orbital wall.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Digital Twins and Health Care: an Umbrella Review.Journal of medical systems · 2025Pooled it
- Assessing the benefits of digital twins in neurosurgery: a systematic review.Neurosurgical review · 2024Pooled it
- Dynamic navigation systems in dento-alveolar surgery: advancements and clinical applications.The Saudi dental journal · 2025Review
- Intraoperative Surgical Navigation Is as Effective as Conventional Surgery for Zygomaticomaxillary Complex Fracture Reduction.Journal of clinical medicine · 2025Review
- Medical Digital Twin: A Review on Technical Principles and Clinical Applications.Journal of clinical medicine · 2025Review
- Three-dimensional computer navigation in the reconstruction of complex unilateral orbital fractures: evaluation and review of applications.Archives of craniofacial surgery · 2024Article
- Evaluation of the effect of Medpor implantation on extraocular muscle function, eye movement disturbance and diplopia in patients with orbital wall fracture.American journal of translational research · 2024Article
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Abstract
purposeTo evaluate the outcomes with and without aid of a computer-assisted surgical navigation system (CASNS) for treatment of unilateral orbital wall fracture (OWF).
methodsPatients who came to our hospital for repairing unilateral traumatic OWF from 2014 to 2017 were included in this study. The patients were divided into the navigation group who accepted orbital wall reconstruction aided by CASNS and the conventional group. We evaluated the surgical precision in the navigation group by analyzing the difference between actual postoperative computed tomography data and preoperative virtual surgical plan through color order ratios. We also compared the duration of surgery, enophthalmos correction, restoration of orbital volumes, and improvement of clinical symptoms in both groups systemically. Quantitative data were presented as mean ± SD. Significance was determined by the two-sample t-test using SPSS Version 19.0 A p < 0.05 was considered statistically significant.
resultsSeventy patients with unilateral OWF were included in the study cohort. The mean difference between preoperative virtual planning and actual reconstruction outcome was (0.869 ± 0.472) mm, which means the reconstruction result could match the navigation planning accurately. The mean duration of surgery in the navigation group was shorter than it is in the control group, but not significantly. Discrepancies between the reconstructed and unaffected orbital-cavity volume and eyeball projection in the navigation group were significantly less than that in the conventional group. One patient had remnant diplopia and two patients had enophthalmos after surgery in the navigation group; two patients had postoperative diplopia and four patients had postoperative enophthalmos in the conventional group.
conclusionCompare with the conventional treatment for OWF, the use of CASNS can provide a significantly better surgical precision, greater improvements in orbital-cavity volume and eyeball projection, and better clinical results, without increasing the duration of surgery.
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