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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Article info
Publication history
Published online: May 14, 2022
Accepted:
May 10,
2022
Received in revised form:
February 15,
2022
Received:
December 29,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
