Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts

Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts

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Repairs of orbital post-traumatic and extensive malignant defects remain a major surgical challenge, in view of follow-up outcomes.Incorrect surgical management of injured facial structures results in cosmetic, ophthalmic, and social aftereffects.A custom-made knitted TiNi-based mesh (KTNM) endograft was employed to overcome post-surgical complications and post-resected lesions of the orbital area.Preoperative high-resolution computed tomography (CT) imaging and CAD modelling were used to design the customized KTNM in each case.

Twenty-five patients underwent surgery utilizing the suggested technique, from 2014 to 2019.In all documented cases, resolution Dice of the ophthalmic malfunction was noted in the early period.Follow-up observation evidenced no relapsed enophthalmos, hypoglobus, or diplopia as late complications.The findings emanating from our clinical observations allow us to claim that the KTNM indicated a high level of biocompatibility.

It is simply modified intraoperatively to attach any desired shape/size for implantation and can also be screw-fixed, providing a good supporting ability.The KTNM precisely renders orbitozygomatic outlines and orbital floor, thus recovering the anatomical structure, and is regarded as an attractive alternative to Armored Vehicle Ti-based meshes and plates.Additionally, we report one of the studied cases, where good functional and cosmetic outcomes have been achieved.