ArticleArchives of craniofacial surgery2026
Surgical precision and clinical outcomes of 3D preformed titanium mesh in orbital blowout fracture reconstruction: a comparative study from Thailand.
Article in Archives of craniofacial surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundOrbital floor fractures are frequently associated with head trauma, and the complex three-dimensional (3D) structure of the orbital cavity poses a significant challenge for accurate repair of orbital wall defects. Accordingly, this study aimed to compare preoperative titanium mesh bending using 3D-printed models with conventional intraoperative bending techniques, focusing on the accuracy of orbital geometry reconstruction and intraoperative efficiency, with the goal of determining potential advantages in optimizing surgical outcomes.
methodsThis study presents a comparative analysis between a prospective preoperative bending (3D pre-bent) of titanium mesh and retrospective data from conventional intraoperative bending. Clinical and radiographic evaluations of orbital geometry, along with intraoperative efficiency metrics, were assessed at both preoperative and postoperative stages.
resultsSixty-four patients were included, with 32 in the 3D pre-bend titanium mesh group and 32 in the conventional bending group. Mean operative time was shorter in the 3D pre-bend group (81.07± 13.04 minutes) than in the conventional group (96.07± 4.46 minutes). The 3D pre-bend group achieved more accurate reconstruction, with orbital volume and height correction rates of 96.78% ± 4.91% and 100.62%± 3.77%, respectively, versus 94.88% ± 4.33% and 96.08% ± 5.44% in the conventional group. Patient and surgeon satisfaction was higher in the 3D pre-bend group.
conclusionPre-bending titanium mesh using a 3D-printed model significantly reduces intraoperative time and improves orbital height correction. Additionally, this technique enhances both patient and surgeon satisfaction. However, long-term clinical outcomes remain comparable between groups.
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