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Clinical effects of 3-D printing-assisted personalized reconstructive surgery for blowout orbital fractures

  • Oculoplastics and Orbit
  • Published:
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Abstract

Purpose

One of the key challenges during orbital fracture reconstructive surgery, due to the complex anatomy of the orbit, is shaping and trimming the precise contour of the implants. The objectives of this study were to describe and evaluate the use of a three-dimensional (3-D) printing technique for personalized reconstructive surgery for repairing orbital fractures.

Methods

A total of 29 cases which had 3-D technique-assisted surgical reconstruction, and 27 cases which had traditional surgery, were retrospectively analyzed. Preoperative and postoperative CT images were measured using MIMICS software, and the contour of the fracture zone and the Medpor-titanium implant were analyzed and compared. The surgical duration was also compared between the two groups.

Results

There were statistically significant differences in the maximum width, depth and area between fracture zone and implant between the two groups, with the absolute value in the 3-D group markedly lower as compared to the control group. In addition, the difference in the medial-inferior wall angle between the surgical eye and healthy eye was also statistically significant between the groups. The average surgical duration in the 3-D group was substantially shorter than in the control group. Additionally, the postoperative clinical evaluation in the 3-D group was superior to that of the control group.

Conclusion

The 3-D printing technique is of great value for predicting the precise fracture zone before, and during, personalized surgery, and can help surgeons achieve accurate anatomical reconstruction for repairs of blowout orbital fractures. Moreover, the simulated bone template produced by 3-D printing models allows for “true-to-original” orbital reconstruction, which can shorten the surgical duration and improve the accuracy and safety of the operation.

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Authors and Affiliations

  1. Department of Ophthalmology, Second Hospital of JiLin University, Chang Chun, 130041, China

    Bin Fan, Han Chen, Ying-Jian Sun, Bei-Fen Wang, Lin Che, Shu-Yan Liu & Guang-Yu Li

Authors
  1. Bin Fan
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  2. Han Chen
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  3. Ying-Jian Sun
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  4. Bei-Fen Wang
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  5. Lin Che
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  6. Shu-Yan Liu
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  7. Guang-Yu Li
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Corresponding author

Correspondence to Guang-Yu Li.

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Funding

This work was supported by grants from the National Natural Science Foundation of China (Nos. 81570864) and the Natural Science Foundation of Jilin Province (No. 20160101004JC; No.20160414045GH; No.2016J041). The sponsor had no role in the design or conduct of this research.

Conflict of interest

All authors certify that they have no affiliations with or involvement in, any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

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Formal consent was not required.

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Fan, B., Chen, H., Sun, YJ. et al. Clinical effects of 3-D printing-assisted personalized reconstructive surgery for blowout orbital fractures. Graefes Arch Clin Exp Ophthalmol 255, 2051–2057 (2017). https://doi.org/10.1007/s00417-017-3766-y

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  • DOI: https://doi.org/10.1007/s00417-017-3766-y

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