Patient-Specific Implant for Primary Orbital Reconstruction: A Case Report
10.21315/aos2022.1702.CR01
- Author:
Ting Jennifer
1
;
Mohd Ferdaus Isa
2
;
Jothi Raamahlingam Rajaran
2
;
Abd Jabar Nazimi
2
Author Information
1. Department of Oral and Maxillofacial Surgery, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, 56000 Kuala Lumpur, Malaysia
2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia
- Publication Type:Case Reports
- Keywords:
Blowout fracture;
Orbital fracture;
Orbital reconstruction;
Patient-specific implant
- MeSH:
Orbital Fractures--surgery;
Orbital Implants
- From:Archives of Orofacial Sciences
2022;17(2):259-267
- CountryMalaysia
- Language:English
-
Abstract:
ABSTRACT :The main aim of orbital fracture reconstruction is to restore the functional and aesthetic components
of the eye. However, it is known that surgery for complex three-dimensional anatomy of the orbit is
always a challenge. With recent advancements in technology, surgical predictability and outcomes have
greatly improved. Several methods for orbital reconstruction surgery have been documented such as
virtual surgical planning, intraoperative navigation, intraoperative imaging, and the use of patient-specific
implant (PSI). PSI made of titanium can be designed by using a computer-aided design process and
manufacturing (CAD-CAM) of CT-scan routinely used during diagnostic imaging. With precise analyses
in shape and size followed by personalised implant design, the surgical precision can be alleviated
further and at the same time, the surgical duration could be reduced with anticipation of better surgical
outcomes. However, meticulous planning needs to be done preoperatively, with the timing of the surgery
being an important factor. In the present case, pure orbital blowout fracture primarily treated with a
personalised-implant solution derived from 3D-printing technology is described. Both pre-surgical and
surgical workflow of this computer-assisted surgical method is elaborated. PSI for primary orbital
reconstruction can be regarded as a viable alternative surgical solution including its working timeframe
and adherence to the surgical protocol or algorithm.
- Full text:2.2022my0022.pdf
