Late reconstruction of extensive orbital floor fracture with a patient-specific implant in a bombing victim
10.5125/jkaoms.2020.46.5.353
- Author:
Maximiliaan SMEETS
1
;
Robin SNEL
;
Yi SUN
;
Titiaan DORMAAR
;
Constantinus POLITIS
Author Information
1. OMFS-IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium
- Publication Type:CASE REPORT
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2020;46(5):353-357
- CountryRepublic of Korea
-
Abstract:
Fractures of the orbital floor and walls are among the most frequent maxillofacial fractures. Virtual three-dimensional (3D) planning and use of patientspecific implants (PSIs) could improve anatomic and functional outcomes in orbital reconstruction surgery. The presented case was a victim of a terrorist attack involving improvised explosive devices. This 58-year-old female suffered severe wounds caused by a single piece of metal from a bomb, shattering the left orbital floor and lateral orbital wall. Due to remaining hypotropia of the left eye compared to the right eye, late orbital floor reconstruction was carried out with a personalised 3D printed titanium implant. We concluded that this technique with PSI appears to be a viable method to correct complex orbital floor defects. Our research group noted good aesthetic and functional results one year after surgery. Due to the complexity of the surgery for a major bony defect of the orbital floor, it is important that the surgery be executed by experienced surgeons in the field of maxillofacial traumatology.
