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Updated: Sep 3, 2025

08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
314
Patient-specific implants in orbital reconstruction.
Jeffrey Hajibandeh1, Cameron Lee
1Division of Oral & Maxillofacial Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Summary
Patient-specific implants (PSIs) and virtual surgical planning (VSP) enhance orbital reconstruction safety and predictability. This review covers PSI workflow, design, and intraoperative imaging for improved patient outcomes in traumatic orbital defects.
Area of Science:
- Reconstructive surgery
- Biomaterials engineering
- Medical imaging
Background:
- Traumatic orbital defects present complex reconstructive challenges.
- Patient-specific implants (PSIs) and virtual surgical planning (VSP) are advancing reconstructive capabilities.
- Optimizing outcomes requires precise planning and execution.
Purpose of the Study:
- To explore advances in PSIs and VSP for orbital defect reconstruction.
- To review current principles and techniques for improved surgical outcomes.
- To provide a comprehensive overview of the PSI workflow for orbital reconstruction.
Main Methods:
- Review of recent literature on PSIs and VSP in orbital reconstruction.
- Analysis of implant design principles and multiunit constructs.
- Evaluation of intraoperative imaging adjuncts and workflow optimization.
Main Results:
- PSIs and VSP offer safer and more predictable orbital reconstructions.
- Novel implant designs and multiunit constructs are improving functional and aesthetic results.
- Intraoperative imaging enhances surgical accuracy and reduces complications.
Conclusions:
- Recent developments in PSIs and VSP are transforming orbital reconstruction.
- A comprehensive workflow from planning to postoperative analysis is crucial.
- Avoiding common pitfalls and design errors ensures successful patient outcomes.

