Customized orbital implant versus 3D preformed titanium mesh for orbital fracture repair: A retrospective comparative analysis of orbital reconstruction accuracy.

Autor: Consorti G; Department of Maxillofacial Surgery, Azienda Ospedaliera Universitaria, Ospedali Riuniti di Ancona, Umberto, Italy. Electronic address: giuseppe.consorti@ospedaliriuniti.marche.it., Betti E; Department of Maxillofacial Surgery, Azienda Ospedaliera Universitaria, Ospedali Riuniti di Ancona, Umberto, Italy., Catarzi L; Department of Maxillofacial Surgery, Azienda Ospedaliera Universitaria, Ospedali Riuniti di Ancona, Umberto, Italy; Department of Maxillofacial Surgery, University of Siena, Siena, Italy.
Jazyk: angličtina
Zdroj: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [J Craniomaxillofac Surg] 2024 Apr; Vol. 52 (4), pp. 532-537. Date of Electronic Publication: 2024 Feb 05.
DOI: 10.1016/j.jcms.2024.02.012
Abstrakt: This study aimed to compare the accuracy of inferomedial orbital fracture restoration using customized orbital implant versus 3D preformed titanium mesh. Patients were divided into two groups. Group 1 underwent surgery with customized orbital implants and intraoperative navigation, while group 2 was treated using 3D preformed titanium meshes with preoperative virtual surgical planning (VSP) and intraoperative navigation. Reconstruction accuracy was assessed by: (1) comparing the postoperative reconstruction mesh position with the preoperative VSP; and (2) measuring the difference between the reconstructed and unaffected orbital volume. Pre- and postoperative diplopia and enophthalmos were also evaluated. Fifty-two patients were enrolled (25 in group 1 vs 27 in group 2). The mean difference between final plate position and ideal digital plan was 0.62 mm (SD = 0.235) in group 1 and 0.69 mm (SD = 0.246) in group 2, with no statistical difference between the groups (p = 0.282). The mean volume differences between the reconstructed and unaffected orbits were 0.95 ml and 1.02 ml in group 1 and group 2, respectively, with no significant difference between the groups (p = 0.860). Overall clinical improvements, as well as complications, were similar. 3D preformed titanium meshes can reconstruct inferomedial fractures with the same accuracy as customized implants. Therefore, in clinical practice, it is recommended to use 3D preformed meshes for this type of fracture due to their excellent results and the potential for reducing time and costs.
Competing Interests: Declaration of competing interest None declared.
(Copyright © 2024 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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