Case Report Oral and Maxillofacial Surgery|Articles in Press

Individualized Implants Using Point-of-Care Printed Models in the Treatment of Orbital Blowout Fractures

Published:February 22, 2023DOI:



      The purpose of this case series is to highlight the digital workflow used by our institution to treat orbital fractures by creating individualized implants using point-of-care 3D printed models.

      Materials and Methods

      The study population was composed of consecutive subjects that presented to John Peter Smith Hospital with isolated orbital floor and/or medial wall fractures from October 2020 to December 2020. Subjects treated within 14 days of initial injury and with 3 months postoperative follow-up were included. Bilateral orbit fractures were excluded since an intact contralateral orbit is needed for 3D modeling


      A total of 7 consecutive subjects were included. The orbital floor was involved in 6 of the fractures, while one fracture involved the medial wall. All subjects with preoperative diplopia, enophthalmos, or both had resolution by the 3-month postoperative follow-up appointment. Postoperatively, there were no complications in all subjects included.


      The point-of-care digital workflow presented allows for the efficient production of individualized orbital implants. This method may produce a midface model in hours that can be used to pre-mold an orbital implant to the mirrored, unaffected orbit.
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