Saqr, O., Kotb, A., EL-Mahallawy, A., El Dibany, R., Moursy, M. (2020). RECONSTRUCTION OF THE ORBITAL SKELETON USING COMPUTER- AIDED INDIVIDUALIZED TITANIUM MESH COMPARED TO CONVENTIONAL TITANIUM MESH. Alexandria Dental Journal, 45(1), 50-55. doi: 10.21608/adjalexu.2020.79933
Omaima M. Saqr; Ahmed R. Kotb; Ahmed S. EL-Mahallawy; Riham M. El Dibany; Mahmoud H. Moursy. "RECONSTRUCTION OF THE ORBITAL SKELETON USING COMPUTER- AIDED INDIVIDUALIZED TITANIUM MESH COMPARED TO CONVENTIONAL TITANIUM MESH". Alexandria Dental Journal, 45, 1, 2020, 50-55. doi: 10.21608/adjalexu.2020.79933
Saqr, O., Kotb, A., EL-Mahallawy, A., El Dibany, R., Moursy, M. (2020). 'RECONSTRUCTION OF THE ORBITAL SKELETON USING COMPUTER- AIDED INDIVIDUALIZED TITANIUM MESH COMPARED TO CONVENTIONAL TITANIUM MESH', Alexandria Dental Journal, 45(1), pp. 50-55. doi: 10.21608/adjalexu.2020.79933
Saqr, O., Kotb, A., EL-Mahallawy, A., El Dibany, R., Moursy, M. RECONSTRUCTION OF THE ORBITAL SKELETON USING COMPUTER- AIDED INDIVIDUALIZED TITANIUM MESH COMPARED TO CONVENTIONAL TITANIUM MESH. Alexandria Dental Journal, 2020; 45(1): 50-55. doi: 10.21608/adjalexu.2020.79933
RECONSTRUCTION OF THE ORBITAL SKELETON USING COMPUTER- AIDED INDIVIDUALIZED TITANIUM MESH COMPARED TO CONVENTIONAL TITANIUM MESH
1MD Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Egypt.
2Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Egypt.
3Professor of Ophthalmology Faculty of Medicine, Alexandria University, Egypt.
Abstract
Introduction: Orbital reconstruction is one of the most challenging tasks for the surgeon who treats craniofacial trauma. Suboptimal outcomes may lead to debilitating morbidity with significant emotional, functional, and occupational deficits Objectives: This study was designed to compare the efficacy of the computer-aided fabricated individual titanium mesh and conventional titanium mesh in orbital skeleton reconstruction in cases of infraorbital dysesthesia. Materials and methods: The study population included 20 patients with orbital skeleton fractures. The sample was selected conveniently to fulfill a list of inclusion criteria. The selected participants were randomly allocated into two equal groups, each group included 10 patients. In the course of a surgical treatment, individually designed titanium mesh were manufactured by application of computer- aided design in combination with rapid prototyping technologies (CAD/RP). Preoperative analysis and postoperative monitoring were conducted to evaluate their success based on restoration of infraorbital nerve function that was evaluated by pin prick test and electrical pulp testing. Results:Regarding postoperative clinical evaluation, group 1(study group) was superior to that of group 2 (control group) in restoring the function of infraorbital nerve Conclusions: computer aided titanium mesh was an accurate option in reconstructions of traumatic orbital wall fractures.
Lim CG, Campbell DI, Clucas DM. Rapid prototyping technology in orbital floor reconstruction: application in three patients. Craniomaxillofac Trauma Reconstr. 2014;7:143–6.
Cohen A, Laviv A, Berman P, Nashef R, Abu-Tair J. Mandibular reconstruction using stereolithographic 3- dimensional printing modeling technology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:661-6.
Yu AW, Khan M. On-demand three-dimensional printing of surgical supplies in conflict zones. J Trauma Acute Care Surg. 2015;78:201-3.
Prachur Kumar, Godhi S, Lall AB, Ram CS. Evaluation of neurosensory changes in the infraorbital nerve following zygomatic fractures. J Maxillofac Oral Surg. 2012;11:394-9.
Chen E, Abbott PV. Abbott dental pulp testing: A review. Int J Dent. 2009;2009:1-12.
Gordon CR, Susarla SM, Yaremchuk MJ. Quantitative assessment of medial orbit fracture repair using computerdesigned anatomical plates. Plast Reconstr Surg. 2012;130:698-705.
Stoetzer M, Rana M, von See C, Eckardt AM, Gellrich NC. Reconstruction of defects of maxillary sinus wall after removal of a huge odontogenic lesion using prebended 3D titanium-mesh and CAD/CAM technique. Head Face Med. 2011;7:1-3.
Ozer MA, Govsa F, Kazak Z, Erdogmus S, Celik S. Redesign and treatment planning orbital floor reconstruction using computer analysis anatomical landmarks. Eur Arch Otorhinolaryngol. 2016;273:2185-91.
Kim YC, Jeong WS, Park T-k, Choi JW, Koh KS, Oh TS. The accuracy of patient specific implant prebented with 3Dprinted rapid prototype model for orbital wall reconstruction. J Craniomaxillofac Surg. 2017;45:928-36.
Ellis E 3rd, Messo E. Use of nonresorbable alloplastic implants for internal orbital reconstruction. J Oral Maxillofac Surg. 2004;62:873-81.
Mwenifumbo S, Li M, Chen J, Beye A, Soboyejo W. Cell/surface interactions on laser micro-textured titaniumcoated silicon surfaces. J Mater Sci Mater Med. 2007;18:9-23.