Page 147 - Advanced concepts in orbital wall fractures

intraoperative CT imaging may prove to be valuable. In the management of orbital wall fractures, it is important to avoid early intervention. Diplopia and eye motility recover substantially in the first 2 weeks to 3 months and it is unnecessary to perform surgery to avoid expected enophthalmos. There is no conclusive evidence that early surgery within 2 weeks improves clinical outcome.
The future of CAS in orbital reconstruction is further optimisation and improved user-friendliness for mainstream use in general clinics. The next step in CAS is implant-oriented navigation. Augmented reality and robotics are other technological advancements to assist the surgeon in the future. Furthermore, the management of orbital wall fractures could be improved by analysing the posttraumatic soft tissue and the regenerative capacity. In addition to clinical objective outcomes, cost-effectiveness, and patient- reported subjective outcomes should be further investigated.
Summary in English and Dutch
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