Titanium Fan Plate Reconstruction for Lateral Orbital Traumatic Defects

Area of Science:

• Ophthalmology
• Neurosurgery
• Trauma Surgery

Background:

• Orbital fractures necessitate operative repair using diverse materials.
• Reconstructing the lateral orbital rim and wall presents significant structural and aesthetic challenges.
• Ballistic injuries pose unique complexities for orbital reconstruction.

Purpose of the Study:

• To present a case of lateral orbital rim and wall reconstruction following a ballistic injury.
• To evaluate the efficacy of a titanium orbital mesh fan plate for restoring orbital contour and structure.
• To demonstrate an injury-specific, cost-effective reconstructive technique.

Main Methods:

• A patient with a ballistic injury to the lateral orbit underwent surgical reconstruction.
• A single titanium orbital mesh fan plate was utilized for the repair.
• The technique focused on restoring the natural contour and structural integrity of the lateral orbit.

Main Results:

• The titanium orbital mesh fan plate successfully restored the contour and structure of the lateral orbit.
• The outcome rivaled the results typically achieved with custom 3D printed plates.
• The technique proved to be injury-specific and cost-effective.

Conclusions:

• A titanium orbital mesh fan plate is a viable and effective option for reconstructing lateral orbital wall and rim fractures.
• This method offers a cost-effective alternative to custom implants for complex orbital reconstructions.
• The presented technique rapidly restores form and function in challenging orbital trauma cases.