# Post-surgical Comparison of Volumetric Analysis in Orbital Fractures with Conventional and Advanced Management

## TL;DR

This study compares traditional and advanced techniques for fixing orbital fractures, finding that the advanced method yields better results.

## Contribution

The study introduces a combined virtual navigation and planning technique for orbital trauma reconstruction.

## Key findings

- Group 3 (advanced technique) had a smaller orbital volume difference (1.14) compared to Group 2 (6.31).
- Statistically significant differences were found between Group 1 and Group 2, and between Group 2 and Group 3.
- The advanced method may reduce complications and improve outcomes in orbital reconstruction.

## Abstract

This study aims to compare the volumetric changes of the orbit after using conventional technique or virtual navigation endoscopically integrated and virtual planning in orbital trauma.

This is an analytical prospective cohort study. The sample was subjects that underwent primary reconstruction for unilateral orbital deformities secondary to trauma. The population was divided into three groups: A control group in order to establish in our patients a reference of the standard difference between both orbits (Group 1). The conventional technique (Group 2) and virtual navigation endoscopically integrated combined with virtual planning (Group 3). Both groups were compared separately with the control group.

In total, 18 patients were divided into three groups. In Group 2, the differential between the orbits was 6.31. In Group 3, the differential between both orbits was 1.14 finding statistically significant differences between Group 1 and Group 2 (p = 0.02), and between Group 2 and Group 3 (p = 0.03). Additionally, between Group 1 and Group 3 no statistically significant differences were found (p = 0.10).

Combining these two techniques into the same instrument for orbital reconstruction can be a great alternative and can be useful to decrease the risk of complications associated with this procedure and improve the results and sequelae.