Use of a Titanium Mesh Plate with High Three-Dimensional Flexibility to Repair an Orbital Floor Fracture: Clinical Note

Orbital blowout fractures are common sequelae of facial trauma. For their treatment, it is now possible to make three-dimensional (3D) implants on the basis of computed tomography (CT) images, using rapid prototyping and to bend the implants preoperatively in the desired shape. However, in orbital fracture, the unique anatomy of the orbit makes the process of fitting and aligning such implants difficult and operator-dependent. Here, we report the use of a unique and newly developed titanium mesh plate with high 3D flexibility to repair an orbital floor fracture. This mesh plate was designed basically in a hexagonal polygon shape. By creating a grating opening in the plate it is possible to alter its 3D shape. The material has high stretch ability, and its mechanical properties could be controlled to adapt to the complex geometric form of the bone. Postoperative evaluation by CT revealed that the preoperatively bent mesh plate was precisely located at the preoperatively planned site. In conclusion, use of this mesh plate system in combination with 3D models can be useful for the treatment of orbital fractures.