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Updated: Oct 3, 2025
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Accuracy of globe-sparing orbital reconstruction using individually bent titanium mesh: A comparative study
Hui Yuh Soh1, Qian Sun2, Lei-Hao Hu2
1Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, 22 Zhongguancun South Avenue, Beijing 100081, China; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia.
Individually bent titanium mesh allows for accurate orbital reconstruction after maxillectomy, with or without intraoperative navigation. This method achieves satisfactory results, restoring orbital projection and volume effectively.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Oral and Maxillofacial Surgery
Background:
- Reconstructing orbital and midfacial defects after extensive globe-sparing maxillectomy presents anatomical challenges.
- Titanium mesh is a common material for orbital reconstruction.
Purpose of the Study:
- To evaluate the outcomes of individually bent titanium mesh in navigation-assisted versus non-navigation-assisted orbital reconstruction.
- To compare the accuracy of orbital projection and volume restoration in post-ablative defects.
Main Methods:
- Forty-one patients undergoing globe-sparing maxillectomy received individually bent titanium mesh for orbital floor reconstruction.
- Orbital projection and volume were measured pre- and postoperatively, comparing reconstructed to unaffected orbits.
- Patients were divided into navigation-assisted and non-navigation-assisted groups.
Main Results:
- Both navigation-assisted and non-navigation-assisted groups achieved true-to-original orbital reconstruction.
- Average differences in globe projection and orbital volume between unaffected and reconstructed orbits were minimal and not statistically significant between groups.
- No significant pre- to postoperative changes in globe projection or orbital volume were observed within either group.
Conclusions:
- Individually bent titanium mesh provides satisfactory outcomes for post-ablative orbital reconstruction.
- Intraoperative navigation does not offer a statistically significant advantage over non-navigation techniques for this specific reconstruction method.
