20 May 2010
Patient specific implants, designed using Rapid Prototyping and diagnostic imaging, for the repair of orbital fractures
Marcin T. Elgalal, Marcin Kozakiewicz, Piotr Loba, Bogdan Walkowiak, Marek Olszycki, Ludomir StefańczykMed Sci Monit 2010; 16(1): 75-79 :: ID: 880587
Abstract
Background: Craniofacial trauma affects orbital structures in approximately 40% of all cases. Over the years, there has been a marked increase in applying preformed implants for the reconstruction of orbital fractures. Such implants significantly shorten operating times and decrease trauma to intraorbital structures during surgery. This study sought to create anatomic models of the bony orbit based on MSCT images, and use them as templates to form titanium mesh into custom, patient-specific implants for the reconstruction of orbital wall defects. Furthermore, the aim was to compare this new technique with a conventional method of treatment.
Material/Methods: A total of 30 patients with facial trauma and orbital fractures were included and divided into 2 groups. The first group of 15 subjects was treated with custom implants formed before surgery. The second group of 15 patients had been previously treated using a conventional method of manual implant formation during surgery. Both groups underwent ophthalmic evaluation and were statistically compared.
Results: Significant improvement in all cases was seen after surgery based on ophthalmic examination. There is a statistically significant superiority of RP (rapid prototyping) treatment method over CM (conventional method) when the area of diplopic vision (binocular single vision loss) and upgaze VVD (vertical visual disparity) reduction are considered.
Conclusions: With this new method of treatment, it is possible to use MSCT imaging to create accurate, individual implants. Such implants allow for precise reconstruction of tissue defects and better outcome.
Keywords: computerized tomography, rapid prototyping, computer models, Orbital Fractures, Orbital Implants
Editorial
01 February 2025 : Editorial
Editorial: Current Approaches to Screening for Lung Cancer in Smokers and Non-SmokersDOI: 10.12659/MSM.948255
Med Sci Monit 2025; 31:e948255
In Press
Clinical Research
Impact of Osteopathic Techniques on Autonomic Regulation: A Study of Heart Rate Variability in Healthy AdultsMed Sci Monit In Press; DOI: 10.12659/MSM.946903
Clinical Research
Immune Dysregulation in Acute Herpes Zoster: Predictive Factors for Postherpetic NeuralgiaMed Sci Monit In Press; DOI: 10.12659/MSM.944688
Clinical Research
Inflammatory Biomarkers from Blood Counts as Prognostic Tools in Metastatic Esophageal CancerMed Sci Monit In Press; DOI: 10.12659/MSM.947202
Laboratory Research
Comparison of Color Stability Between Single-Shade and Conventional Composite Resins Following Immersion in...Med Sci Monit In Press; DOI: 10.12659/MSM.946784
Most Viewed Current Articles
17 Jan 2024 : Review article 6,966,697
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research 701,689
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Mar 2024 : Editorial 25,052
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...DOI :10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
28 Jan 2024 : Review article 19,692
A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and FutureDOI :10.12659/MSM.943912
Med Sci Monit 2024; 30:e943912