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Updated: Apr 28, 2026
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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Managing Orbital Floor Fractures With Three-Dimensional (3D)-Printed Surgical Guides: A Narrative Review
Vaibhav Anand1, Mohit B Bagde2, Sameer Gupta3
1Department of Dentistry, Uttar Pradesh University of Medical Sciences, Saifai, IND.
Cureus
|April 27, 2026
Summary
Three-dimensional (3D)-printed surgical guides enhance orbital floor fracture repair precision. These patient-specific guides improve accuracy, reduce complications like double vision, and offer better functional and esthetic outcomes compared to traditional methods.
Area of Science:
- Maxillofacial Surgery
- Biomedical Engineering
- Ophthalmology
Background:
- Orbital floor fractures from maxillofacial trauma can cause significant functional and esthetic issues.
- Conventional reconstruction methods rely on intraoperative judgment, potentially compromising precision in complex cases.
Purpose of the Study:
- To evaluate the clinical effectiveness, accuracy, and feasibility of 3D-printed patient-specific surgical guides for orbital floor fracture management.
Main Methods:
- A comprehensive literature review of prospective and comparative clinical studies on guide-assisted orbital reconstruction.
- Emphasis on surgical accuracy, functional outcomes, complication rates, and workflow efficiency.
Main Results:
- 3D-printed guides enable precise implant positioning and improved orbital volume restoration.
- Radiological assessments show reduced discrepancies; clinical outcomes indicate lower rates of diplopia, enophthalmos, and revision surgery.
- These guides translate virtual planning into reproducible intraoperative execution.
Conclusions:
- 3D-printed surgical guides are a promising adjunct for orbital floor fracture management.
- They offer enhanced precision, predictability, and improved functional and esthetic outcomes.
- Further standardized and cost-effectiveness studies are warranted.
