Version 1
: Received: 24 July 2023 / Approved: 25 July 2023 / Online: 25 July 2023 (11:44:52 CEST)
How to cite:
D'Alpaos, D.; Badiali, G.; Ceccariglia, F.; Tarsitano, A. Delayed Orbital Floor Reconstruction Using a Mirroring Technique and patient-specific implants: a prospective clinical study.. Preprints2023, 2023071681. https://doi.org/10.20944/preprints202307.1681.v1
D'Alpaos, D.; Badiali, G.; Ceccariglia, F.; Tarsitano, A. Delayed Orbital Floor Reconstruction Using a Mirroring Technique and patient-specific implants: a prospective clinical study.. Preprints 2023, 2023071681. https://doi.org/10.20944/preprints202307.1681.v1
D'Alpaos, D.; Badiali, G.; Ceccariglia, F.; Tarsitano, A. Delayed Orbital Floor Reconstruction Using a Mirroring Technique and patient-specific implants: a prospective clinical study.. Preprints2023, 2023071681. https://doi.org/10.20944/preprints202307.1681.v1
APA Style
D'Alpaos, D., Badiali, G., Ceccariglia, F., & Tarsitano, A. (2023). Delayed Orbital Floor Reconstruction Using a Mirroring Technique and patient-specific implants: a prospective clinical study.. Preprints. https://doi.org/10.20944/preprints202307.1681.v1
Chicago/Turabian Style
D'Alpaos, D., Francesco Ceccariglia and Achille Tarsitano. 2023 "Delayed Orbital Floor Reconstruction Using a Mirroring Technique and patient-specific implants: a prospective clinical study." Preprints. https://doi.org/10.20944/preprints202307.1681.v1
Abstract
Enophthalmos is a severe complication of primary reconstruction following orbital floor frac-tures, oncological resections or maxillo-facial syndromes. The goal of secondary reconstruction is to re-store symmetrical globe positions to recover function and aesthetics. In this article we pre-sent a method of computer-assisted orbital floor reconstruction using a mirroring technique and a customized titanium or high-density polyethylene mesh, printed using computer aided manufac-turing techniques.
This reconstructive protocol involves 4 steps: mirroring of the healthy orbit at the affected site, vir-tual design of a patient specific orbital floor mesh, computer-assisted manufacturing (CAD) of the implant, and surgical insertion of the device. Using a computed tomography data set, the un-injured side of the craniofacial skeleton was reflected onto the contralateral injured side, and a reconstructive orbital floor prosthesis was virtually designed on the mirrored orbital bone sur-face. The solid-to-layer (.STL) files of the prosthesis were then manufactured using Direct Metal Laser Sintering (DMLS) or Computer Numerical Control (CNC) methods, leading to the produc-tion of 10 titanium meshes and 2 high density polyethylene (HDPE) implants.
Clinical outcomes were assessed using 3dMD photogrammetry and computed tomography measures in 14 treated patients.
The technique described here appears to be a viable method to correct complex orbital floor de-fects needing delayed reconstruction. This article represents the prosecution of a previous study, which is part of a wider experimental protocol for orbital floor reconstruction using comput-er-assisted design-computer-assisted manufacturing (CAD-CAM) technology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
