Abstract
Introduction
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
Results
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.
Discussion
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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Article info
Publication history
Accepted:
February 15,
2023
Received in revised form:
February 11,
2023
Received:
January 9,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
