Late reconstruction of extensive orbital floor fracture with a patient-specific implant in a bombing victim

Maximiliaan Smeets; Robin Snel; Yi Sun; Titiaan Dormaar; Constantinus Politis

doi:10.5125/jkaoms.2020.46.5.353

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자료유형: 학술저널

저자정보: Maximiliaan Smeets (University Hospitals Leuven) Robin Snel (University Hospitals Leuven) Yi Sun (University Hospitals Leuven) Titiaan Dormaar (University Hospitals Leuven) Constantinus Politis (University Hospitals Leuven)

저널정보: 대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제46권 제5호

발행연도: 2020.10

수록면: 353 - 357 (5page)

DOI: 10.5125/jkaoms.2020.46.5.353

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Fractures of the orbital floor and walls are among the most frequent maxillofacial fractures. Virtual three-dimensional (3D) planning and use of patientspecific implants (PSIs) could improve anatomic and functional outcomes in orbital reconstruction surgery. The presented case was a victim of a terrorist attack involving improvised explosive devices. This 58-year-old female suffered severe wounds caused by a single piece of metal from a bomb, shattering the left orbital floor and lateral orbital wall. Due to remaining hypotropia of the left eye compared to the right eye, late orbital floor reconstruction was carried out with a personalised 3D printed titanium implant. We concluded that this technique with PSI appears to be a viable method to correct complex orbital floor defects. Our research group noted good aesthetic and functional results one year after surgery. Due to the complexity of the surgery for a major bony defect of the orbital floor, it is important that the surgery be executed by experienced surgeons in the field of maxillofacial traumatology.

#Prostheses and implants #Orbital fracture #Surgical traumatology #Three-dimensional printing

참고문헌 (13)

참고문헌 신청

Ellis E / 2004 / Use of nonresorbable alloplastic implants for internal orbital reconstruction / J Oral Maxillofac Surg 62:873~881

Bertol LS / 2010 / Medical design : direct metal laser sintering of Ti–6Al–4V / Mater Des 31:3982~3988

de Oliveira FM / 2018 / Quality of life assessment of patients utilizing orbital implant-supported prostheses / Clin Implant Dent Relat Res 20:438~443

Davies JC / 2018 / Orbital floor reconstruction: 3-Dimensional analysis shows comparable morphology of scapular and iliac crest bone grafts / J Oral Maxillofac Surg 76:2011~2018

Ilankovan V / 1992 / Experience in the use of calvarial bone grafts in orbital reconstruction / Br J Oral Maxillofac Surg 30:92~96

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