In the past, computer assisted surgery (CAS) had been introduced for precise orbital reconstruction. Beside this, CAD/CAM procedures found the way into the production of individual prefabricated titanium implants. However, these applications are complex, expensive and time-consuming.

A new generation of anatomical preformed orbital implants offers the possibility in true to original orbital reconstruction. Two different sizes, independent of gender, are available for each side. Comparing original and reconstructed orbital cavities a deviation of 0.81 mm (±0.74 mm) was found. Preliminary follow up studies are showing promising clinical results and the combination with intraoperative imaging control lead to a new standard of orbital reconstruction surgery.

The importance of navigation and intraoperative cone beam control will be highlighted.

Also in condylar fractures intraoperative cone beam control provides an immediate quality control of the results in combination with endoscopic procedures.

A prospective randomized study reveals less complications following endoscopically assisted surgery of condylar fractures. The duration of the endoscopically assisted procedures is in average 33 min longer than a procedure performed extraorally.

Intraoperative imaging and endoscopic-assisted procedures offer significant advantages in trauma care in Oral and Maxillofacial Surgery.