Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction
Restoration of the orbit is the first and most predictable step in the surgical treatment of orbital fractures. Orbital reconstruction is keyhole surgery performed in a confined space. A technology-supported workflow called computer-assisted surgery (CAS) has become the standard for complex orbital...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/9/1366 |
| _version_ | 1797486174918410240 |
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| author | Juliana F. Sabelis Ruud Schreurs Harald Essig Alfred G. Becking Leander Dubois |
| author_facet | Juliana F. Sabelis Ruud Schreurs Harald Essig Alfred G. Becking Leander Dubois |
| author_sort | Juliana F. Sabelis |
| collection | DOAJ |
| description | Restoration of the orbit is the first and most predictable step in the surgical treatment of orbital fractures. Orbital reconstruction is keyhole surgery performed in a confined space. A technology-supported workflow called computer-assisted surgery (CAS) has become the standard for complex orbital traumatology in many hospitals. CAS technology has catalyzed the incorporation of personalized medicine in orbital reconstruction. The complete workflow consists of diagnostics, planning, surgery and evaluation. Advanced diagnostics and virtual surgical planning are techniques utilized in the preoperative phase to optimally prepare for surgery and adapt the treatment to the patient. Further personalization of the treatment is possible if reconstruction is performed with a patient-specific implant and several design options are available to tailor the implant to individual needs. Intraoperatively, visual appraisal is used to assess the obtained implant position. Surgical navigation, intraoperative imaging, and specific PSI design options are able to enhance feedback in the CAS workflow. Evaluation of the surgical result can be performed both qualitatively and quantitatively. Throughout the entire workflow, the concepts of CAS and personalized medicine are intertwined. A combination of the techniques may be applied in order to achieve the most optimal clinical outcome. The goal of this article is to provide a complete overview of the workflow for post-traumatic orbital reconstruction, with an in-depth description of the available personalization and CAS options. |
| first_indexed | 2024-03-09T23:29:27Z |
| format | Article |
| id | doaj.art-a54cc3aa1d304b44baaf52db753ecc11 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T23:29:27Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-a54cc3aa1d304b44baaf52db753ecc112023-11-23T17:11:56ZengMDPI AGJournal of Personalized Medicine2075-44262022-08-01129136610.3390/jpm12091366Personalized Medicine Workflow in Post-Traumatic Orbital ReconstructionJuliana F. Sabelis0Ruud Schreurs1Harald Essig2Alfred G. Becking3Leander Dubois4Department of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, Academic Center for Dentistry Amsterdam (ACTA), Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, Academic Center for Dentistry Amsterdam (ACTA), Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsDepartment Oral & Maxillofacial Surgery, University Hospital, Frauenklinikstrasse 24, 8091 Zurich, SwitzerlandDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, Academic Center for Dentistry Amsterdam (ACTA), Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, Academic Center for Dentistry Amsterdam (ACTA), Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsRestoration of the orbit is the first and most predictable step in the surgical treatment of orbital fractures. Orbital reconstruction is keyhole surgery performed in a confined space. A technology-supported workflow called computer-assisted surgery (CAS) has become the standard for complex orbital traumatology in many hospitals. CAS technology has catalyzed the incorporation of personalized medicine in orbital reconstruction. The complete workflow consists of diagnostics, planning, surgery and evaluation. Advanced diagnostics and virtual surgical planning are techniques utilized in the preoperative phase to optimally prepare for surgery and adapt the treatment to the patient. Further personalization of the treatment is possible if reconstruction is performed with a patient-specific implant and several design options are available to tailor the implant to individual needs. Intraoperatively, visual appraisal is used to assess the obtained implant position. Surgical navigation, intraoperative imaging, and specific PSI design options are able to enhance feedback in the CAS workflow. Evaluation of the surgical result can be performed both qualitatively and quantitatively. Throughout the entire workflow, the concepts of CAS and personalized medicine are intertwined. A combination of the techniques may be applied in order to achieve the most optimal clinical outcome. The goal of this article is to provide a complete overview of the workflow for post-traumatic orbital reconstruction, with an in-depth description of the available personalization and CAS options.https://www.mdpi.com/2075-4426/12/9/1366patient-specific implantsorbital reconstructioncomputer-assisted surgerysurgical navigationadditive manufacturing |
| spellingShingle | Juliana F. Sabelis Ruud Schreurs Harald Essig Alfred G. Becking Leander Dubois Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction Journal of Personalized Medicine patient-specific implants orbital reconstruction computer-assisted surgery surgical navigation additive manufacturing |
| title | Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction |
| title_full | Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction |
| title_fullStr | Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction |
| title_full_unstemmed | Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction |
| title_short | Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction |
| title_sort | personalized medicine workflow in post traumatic orbital reconstruction |
| topic | patient-specific implants orbital reconstruction computer-assisted surgery surgical navigation additive manufacturing |
| url | https://www.mdpi.com/2075-4426/12/9/1366 |
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