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Evaluation of the preoperative pre-bending of titanium mesh on a model obtained by 3D printing for treatment of orbital floor fractures : a systematic review of the literature and description of a new protocol

par Engels, Thibaut ;Waskiewicz, Kamil ;Glineur, Régine ;Oth, Olivier
Référence Revue médicale de Bruxelles, 40, 6, page (502-508)
Publication Publié, 2019-02-01

Article révisé par les pairs

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Résumé :

Introduction: Orbital floor fracture is a frequent pathology. It can lead to serious consequences such as enophthalmia and diplopia. Anatomical orbital reconstruction is essential to recover ocular function and facial aesthetics. Titanium is a widely used material in this indication. The adaptation of a titanium plate to the complex anatomy of the orbital floor is the main difficulty of this surgery. To counter this, it is advantageous to prebend the titanium plate preoperatively on a 3D orbital model. This study provides a systematic review on the subject and proposes a simple and affordable method for all. Methods: A systematic review screening 5 databases identified 288 papers. Of these, 24 were selected for further analysis and 11 matching the topic were finally selected. A new protocol using this technology is described. Results: This systematic review highlights the advantages of this technology for surgical treatment of orbital floor fractures, including improved reconstruction accuracy, reduced operative time and better postoperative patients' condition . Conclusions: 3D printing technology offers many benefits in the management of orbital floor fractures. To develop its expansion, we propose a safe and affordable protocol using this technology exploiting free softwares.