MMSL 2014, 83(4):145-150 | DOI: 10.31482/mmsl.2014.025

VIDEO-ASSISTED AND CT NAVIGATED REPOSITION OF AN ORBITAL BLOW-OUT FRACTUREOriginal article

Daniel Kovář ORCID...1,2,4*, Zdeněk Voldřich1,4, Pavel Voska4, Jan Lešták3,5, Eva Drahokoupilová2
1 3rd Faculty of Medicine in Prague, Charles University, Czech Republic
2 Faculty of Military Health Science in Hradec Králové, University of Defence
3 Faculty of Medicine in Hradec Králové, Charles University, Czech Republic
4 Central Military Hospital, Prague, Czech Republic
5 JL Clinic, V Hůrkách 1296/10, Prague, Czech Republic

One possible use of CT navigated surgery in Otorinolaryngology includes traumatology of the facial skeleton.CT navigation enables a surgeon to assess the range and quality of reposition and fixation of a fracture, in our case the fracture of the orbital floor, using a navigated tube. We proceed from pre-operative CT of the paranasal sinuses images to navigation with 1,5-2,0 mm incisions and subsequent registration. Formerly, we used mainly transantral approach at our department, while currently we prefer subciliar approach with the use of absorbable materials (PDS or PMR splint).We use a rigid endoscope for infraorbital nerve decompression and delicate removal of free bone fragments from the maxillary sinus. We applied this procedure in 2 patients. We verified the range of decompression, degree of reposition of the orbital blow-out fracture, and placement of PMR splint and titanium grid using video navigation.

Keywords: orbital blow-out fractures; otorinolaryngology; CT navigation; video-assisted and CT navigated surgery

Received: June 29, 2014; Revised: November 2, 2014; Published: December 5, 2014  Show citation

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Kovář, D., Voldřich, Z., Voska, P., Lešták, J., & Drahokoupilová, E. (2014). VIDEO-ASSISTED AND CT NAVIGATED REPOSITION OF AN ORBITAL BLOW-OUT FRACTURE. MMSL, 83(4), 145-150. doi: 10.31482/mmsl.2014.025
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