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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
347
Customised products for orbital wall reconstruction: a systematic review
Amely Hartmann1, Peer Kämmerer2, Lorena Cascant Ortolano3
1Echterdinger Straße 7, 70794 Filderstadt, Germany; Department of Oral and Maxillofacial Surgery, University Medical Centre of the Johannes Gutenberg University of Mainz, Augustusplatz 2, 55131 Mainz, Germany.
The British Journal of Oral & Maxillofacial Surgery
|February 27, 2022
Summary
Customised orbital fracture reconstruction using meshes and surgical navigation offers superior recovery and aesthetic outcomes. This approach also reduces surgical time and hospitalisation, improving patient results.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Biomedical Engineering
Background:
- Orbital fractures require precise reconstruction for functional and aesthetic recovery.
- Traditional methods may have limitations in achieving optimal outcomes.
Purpose of the Study:
- To systematically review and present the current state of customised orbital fracture reconstruction.
- To evaluate the effectiveness of customised meshes combined with surgical navigation.
Main Methods:
- Systematic review of controlled clinical studies from three electronic databases and manual searches.
- Inclusion criteria focused on studies with defined primary (recovery status) and secondary (surgical time, events, hospitalisation) outcomes.
Main Results:
- Eight studies met inclusion criteria; customised reconstruction showed superior recovery in some cases.
- Shorter surgical times, reduced liquid infusion, and decreased hospitalisation were observed with customised approaches.
- Four studies reported more accurate reconstructions using surgical navigation.
Conclusions:
- Customised meshes combined with surgical navigation lead to more accurate orbital fracture reconstruction.
- This approach offers significant benefits, including reduced surgical time and improved patient outcomes.
