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Reconstruction of orbital wall fractures with superior orbital fissure syndrome using individualized preformed titanium mesh: a pilot study

  • Qing He
    Affiliations
    Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China

    National Key Clinical Specialty, The Affiliated Hospital of Southwest Medical University, Luzhou, China
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  • Pengcheng Rao
    Affiliations
    Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China
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  • Lei Wang
    Affiliations
    Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China

    National Key Clinical Specialty, The Affiliated Hospital of Southwest Medical University, Luzhou, China
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  • Yong Li
    Affiliations
    Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China

    National Key Clinical Specialty, The Affiliated Hospital of Southwest Medical University, Luzhou, China
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  • Guangxin Fu
    Affiliations
    Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China

    National Key Clinical Specialty, The Affiliated Hospital of Southwest Medical University, Luzhou, China
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  • Jingang Xiao
    Correspondence
    Corresponding author at: Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China.
    Affiliations
    Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China

    National Key Clinical Specialty, The Affiliated Hospital of Southwest Medical University, Luzhou, China

    Orofacial & Maxillofacial Reconstruction and Regeneration Laboratory, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China
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      Objective

      The aim was to preliminarily evaluate the effect of individualized preformed titanium mesh in the treatment of orbital wall fractures with superior orbital fissure syndrome (SOFS).

      Study Design

      This study consisted of 10 patients of orbital wall fracture and SOFS who were treated at the Affiliated Stomatology Hospital of Southwest Medical University. On the basis of preoperative computed tomography data, individualized titanium mesh was produced by mirror engineering and rapid prototyping, and it was implanted into defects in the orbital walls to restore the normal anatomy. Early orbital wall reconstruction was performed to improve the SOFS. Postoperatively, the ocular and facial appearance and eye function were evaluated.

      Results

      The orbital structure, volume, and size of the SOF were restored in the 10 patients using the individualized titanium mesh. The symptoms of SOFS completely disappeared in all patients with no severe postoperative complications. Significant recovery of ocular and facial appearance and eye function was reported.

      Conclusions

      This pilot study demonstrated that individualized preformed titanium mesh can accurately restore the orbital walls and the structure and size of the SOF, and it is useful in the treatment of SOFS without intraorbital bone fragment displacement.
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