Treatment of fibrous dysplasia orbital deformities with digital imaging guidance.

We aimed to plan an osteotomy line in orbital craniofacial fibrous dysplasia surgery using digital imaging techniques and to evaluate the treatment result. Five patients with unilateral craniofacial fibrous dysplasia were included in the study. After CT scanning, the skulls were reconstructed in 3 dimensions using analytic software. Surgical procedures were planned to mirror the orbit on the uninvolved side, and results were evaluated by comparison with the uninvolved orbit. There were no serious complications. All patients were satisfied with the results. There was minimal asymmetry between the levels of the repaired and the uninvolved orbital floors. The use of analytic software for surgical planning results in a satisfactory outcome with minimal risk. As this technology gains popularity, it offers the possibility of better results and safer surgery on orbital deformities in craniofacial fibrous dysplasia.