Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring

Abstract Background Orbital wall fractures can result in changes to the bony orbital volume and soft tissue. Restoring the bony orbital and intraconal fat volumes is crucial to prevent posttraumatic enophthalmos and hypoglobus. We aimed to establish an evidence-based medical reference point for “mir...

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Main Authors: Hyung Min Hahn, Yeon Kyo Jung, Il Jae Lee, Hyoseob Lim
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-023-02268-0
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author Hyung Min Hahn
Yeon Kyo Jung
Il Jae Lee
Hyoseob Lim
author_facet Hyung Min Hahn
Yeon Kyo Jung
Il Jae Lee
Hyoseob Lim
author_sort Hyung Min Hahn
collection DOAJ
description Abstract Background Orbital wall fractures can result in changes to the bony orbital volume and soft tissue. Restoring the bony orbital and intraconal fat volumes is crucial to prevent posttraumatic enophthalmos and hypoglobus. We aimed to establish an evidence-based medical reference point for “mirroring” in orbital wall reconstruction, which incorporates three-dimensional (3D)-printing and navigation-assisted surgery, by comparing bilateral bony orbital volumes. Methods We retrospectively analyzed the data obtained from 100 Korean adults who did not have orbital wall fractures, categorized by age groups. The AVIEW Research software (Coreline Soft Inc., Seoul, South Korea) was used to generate 3D reformations of the bony orbital cavity, and bony orbital volumes were automatically calculated after selecting the region of interest on consecutive computed tomography slices. Results The mean left and right orbital volume of males in their 20 s was 24.67 ± 2.58 mL and 24.70 ± 2.59 mL, respectively, with no significant difference in size (p = 0.98) and Pearson’s correlation coefficient of 0.977 (p < 0.001). No significant differences were found in orbital volumes in other age groups without fractures or in patients with nasal bone fractures (p = 0.84, Pearson’s correlation coefficient 0.970, p < 0.001). The interclass correlation coefficients (2,1) for inter- and intrarater reliability were 0.97 (p < 0.001) and 0.99 (p < 0.001), respectively. Conclusions No significant differences were found in the bilateral bony orbital volumes among males of any age. Thus, the uninjured orbit can be used as a volumetric reference point for the contralateral injured orbit during orbital wall reconstruction.
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spelling doaj.art-be1e784dc6b143b8bf8c6bec3544b61a2023-11-19T12:13:28ZengBMCBMC Surgery1471-24822023-11-012311610.1186/s12893-023-02268-0Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroringHyung Min Hahn0Yeon Kyo Jung1Il Jae Lee2Hyoseob Lim3Department of Plastic and Reconstructive Surgery, Ajou University School of MedicineDepartment of Plastic and Reconstructive Surgery, Ajou University School of MedicineDepartment of Plastic and Reconstructive Surgery, Ajou University School of MedicineDepartment of Plastic and Reconstructive Surgery, Ajou University School of MedicineAbstract Background Orbital wall fractures can result in changes to the bony orbital volume and soft tissue. Restoring the bony orbital and intraconal fat volumes is crucial to prevent posttraumatic enophthalmos and hypoglobus. We aimed to establish an evidence-based medical reference point for “mirroring” in orbital wall reconstruction, which incorporates three-dimensional (3D)-printing and navigation-assisted surgery, by comparing bilateral bony orbital volumes. Methods We retrospectively analyzed the data obtained from 100 Korean adults who did not have orbital wall fractures, categorized by age groups. The AVIEW Research software (Coreline Soft Inc., Seoul, South Korea) was used to generate 3D reformations of the bony orbital cavity, and bony orbital volumes were automatically calculated after selecting the region of interest on consecutive computed tomography slices. Results The mean left and right orbital volume of males in their 20 s was 24.67 ± 2.58 mL and 24.70 ± 2.59 mL, respectively, with no significant difference in size (p = 0.98) and Pearson’s correlation coefficient of 0.977 (p < 0.001). No significant differences were found in orbital volumes in other age groups without fractures or in patients with nasal bone fractures (p = 0.84, Pearson’s correlation coefficient 0.970, p < 0.001). The interclass correlation coefficients (2,1) for inter- and intrarater reliability were 0.97 (p < 0.001) and 0.99 (p < 0.001), respectively. Conclusions No significant differences were found in the bilateral bony orbital volumes among males of any age. Thus, the uninjured orbit can be used as a volumetric reference point for the contralateral injured orbit during orbital wall reconstruction.https://doi.org/10.1186/s12893-023-02268-0OrbitAge groupsReconstructive surgical procedureImage processingComputer-assistedOrbital implants
spellingShingle Hyung Min Hahn
Yeon Kyo Jung
Il Jae Lee
Hyoseob Lim
Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring
BMC Surgery
Orbit
Age groups
Reconstructive surgical procedure
Image processing
Computer-assisted
Orbital implants
title Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring
title_full Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring
title_fullStr Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring
title_full_unstemmed Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring
title_short Revisiting bilateral bony orbital volumes comparison using 3D reconstruction in Korean adults: a reference study for orbital wall reconstruction, 3D printing, and navigation by mirroring
title_sort revisiting bilateral bony orbital volumes comparison using 3d reconstruction in korean adults a reference study for orbital wall reconstruction 3d printing and navigation by mirroring
topic Orbit
Age groups
Reconstructive surgical procedure
Image processing
Computer-assisted
Orbital implants
url https://doi.org/10.1186/s12893-023-02268-0
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