Customized Titanium Reconstruction of Orbital Fractures Using a Mirroring Technique for Virtual Reconstruction and 3D Model Printing

Purpose Early operative reconstruction using titanium mesh is a technique often used for preventing sequelae after an orbital fracture. We sought to examine the utility of patient-specific molding with biomodel via virtual mirroring nonaffected side. Methods retrospectively assessed clinical and radiological outcomes fracture customized shaped on 3D-printed biomodels in 34 unilateral cases. Preoperative images, technique, were superimposed postoperative 3D data from patient charts analyzed. Orbital reconstructions rated, intention revise results intraoperatively, or during inpatient outpatient phases, was by 2 consultants residents. Results found that most fractures arose falls <3 meters interpersonal violence. Ophthalmic injuries included subconjunctival bleeding, ocular contusion, enophthalmos, diplopia. Long-term at last followup diplopia (8.8%) mild enophthalmos (11.8%). Conclusion Interrater reliabilities regarding consultants' substantial almost perfect any time point. Therefore, fractured orbit customize commercial implants yields good reliable results, enhances surgical precision, decreases need intraoperative revision, as well long-term fractures.