Clinical application of 3D pre-bent titanium implants for orbital floor fractures.
BACKGROUND
Orbital structures are affected in approximately 40% of all cases of craniofacial trauma. Changes in the bony orbital dimensions can alter the function of intraorbital contents and lead to serious complications. The unique anatomy of the orbit and the resulting surgical approaches make the process of fitting and aligning implants difficult, time consuming and operator dependent. It is now possible to make relatively inexpensive anatomical models on the basis of computed tomography images, using rapid prototyping. Such models can be used as templates to form titanium mesh implants, which are then used in the reconstruction of orbital floor defects.


METHODS
Six patients with facial trauma were included in this study. First, 3D virtual models and then physical models were created. These were used as templates to shape the titanium mesh and then intraoperatively as guides to aid correct implant placement in the orbit.


RESULTS
Significant improvement resulted in three cases and total recovery in three cases.


CONCLUSIONS
It is financially viable to build anatomical models, on the basis of CT studies, that can be used in the repair of orbital floor fractures.
Kozakiewicz
Marcin
M
Department of Cranio-Maxillofacial and Oncological Surgery, Medical University of Lodz, University Hospital Nr.1, Lodz, Poland.
Elgalal
Marcin
M
Loba
Piotr
P
Komuński
Piotr
P
Arkuszewski
Piotr
P
Broniarczyk-Loba
Anna
A
Stefańczyk
Ludomir
L
D001672:Biocompatible Materials; D001860:Bone Plates; D017076:Computer-Aided Design; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008953:Models, Anatomic; D009917:Orbital Fractures / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D020127:Recovery of Function; D025321:Surgery, Computer-Assisted; D013526:Surgical Mesh; D013997:Time Factors; D014025:Titanium; D014057:Tomography, X-Ray Computed; D014584:User-Computer Interface
D001672:Biocompatible Materials; D014025:Titanium