Individual Cad/Cam Implants and Standard Implants in Orbital Wall Fractures: Comparative Analysis of Aesthetic and Functional Results
DOI:
https://doi.org/10.31149/ijimm.v4i4.2851Keywords:
Orbital Fracture, CAD/CAM Technology, Individual Implant, Orbital Reconstruction, Personalized Medicine, Enophthalmia, Orbital Symmetry, Patient SatisfactionAbstract
Traumatic fractures of the orbital walls represent one of the most common maxillofacial injuries, occurring in 40-50% of all facial bone structure injuries. The nature of damage to the orbital walls, especially the floor and medial orbital wall, largely determines not only the functional results of treatment but also the aesthetic outcome, which directly affects the quality of life of patients.
References
[1] Sh. A. Boymuradov and T. A. Olimjonov, “Optimization of care for patients with facial midline fractures,” Internauka, no. 4 (227), pt. 1, pp. 51–53, Moscow, Russia: Internauka Publishing House, 2022. [Online]. Available: https://www.internauka.org/journal/science/internauka/227
[2] Sh. A. Boymuradov and T. A. Olimjonov, “Planning the replacement of bone fragments in fractures of the middle zone of the face using virtual modeling,” Internauka, no. 4 (227), pt. 1, pp. 54–56, Moscow, Russia: Internauka Publishing House, 2022. [Online]. Available: https://www.internauka.org/journal/science/internauka/227
[3] D. T. Bobamuratova, Sh. A. Boymuradov, S. B. Rakhmonov, and T. A. Olimjonov, “Nutrition of patients with jaw fracture and orthognathic surgery: Literature review,” J. Dent. Oral Disord. Ther., vol. 6, no. 2, pp. 1–7, 2018. doi: 10.15226/jdodt.2018.00199
[4] T. A. Olimjonov, D. R. Fattayeva, and J. A. Umarov, “Treatment methods for fractures of the zygomaticoorbital complex,” Periodica Journal of Modern Philosophy, Social Sciences and Humanities, vol. 13, pp. 65–68, Dec. 2022. [Online]. Available: https://periodica.com
[5] T. A. Olimjonov, “Use of navigation systems in the treatment of defects and deformations after trauma of the zygomatico-orbital complex,” in Proc. VII Int. Congress of Dentists: Current Problems of Dentistry and Maxillofacial Surgery, Tashkent, Uzbekistan, Nov. 27, 2024.
[6] T. A. Olimjonov and Sh. A. Boymuradov, “Improving the surgical treatment of patients with injuries of the zygomatico-orbital complex,” in Proc. Int. Sci. Pract. Online Conf. ‘Prospects in Maxillofacial Surgery: Decisions of Young Scientists’, Tashkent, Uzbekistan, Feb. 5, 2022.
[7] T. A. Olimjonov, “Improving the surgical treatment tactics of patients with fractures of the zygomatico-orbital complex,” Journal of Modern Medicine, vol. 1, no. 1, pp. 719–725, 2025.
[8] T. A. Olimjonov, “Mini-invasive methods of surgical treatment of victims with injuries of the skull and arch,” Journal of Modern Medicine, vol. 1, no. 1, pp. 726–731, 2025.
[9] C. Jaquiéry, C. Aeppli, P. Cornelius et al., “Reconstruction of orbital wall defects: Critical review of 72 patients,” Int. J. Oral Maxillofac. Surg., vol. 36, no. 3, pp. 193–199, 2007.
[10] M. A. Burnstine, “Clinical recommendations for the repair of isolated fractures of the orbital floor: An evidence-based analysis,” Ophthalmology, vol. 109, no. 7, pp. 1207–1213, 2002.
[11] J. R. Boyette, J. D. Pemberton, and J. Bonilla-Velez, “Management of orbital fractures: Challenges and solutions,” Clin. Ophthalmol., vol. 9, pp. 2127–2137, 2015.
[12] E. Ellis and Y. Tan, “Assessment of internal orbital reconstructions for pure blow-out fractures: Cranial bone grafts versus titanium mesh,” J. Oral Maxillofac. Surg., vol. 61, no. 4, pp. 442–453, 2003.
[13] A. J. Gear, A. Lokeh, J. H. Aldridge et al., “Safety of titanium mesh for orbital reconstruction,” Ann. Plast. Surg., vol. 48, no. 1, pp. 1–9, 2002.
[14] M. C. Metzger, R. Schön, R. Tetzlaff et al., “Topographical CT-data analysis of the human orbital floor,” Int. J. Oral Maxillofac. Surg., vol. 36, no. 1, pp. 45–53, 2007.
[15] P. Scolozzi, A. Martinez, and B. Jaques, “Complex orbital reconstruction using computer-designed low-profile titanium mesh plates,” J. Oral Maxillofac. Surg., vol. 68, no. 8, pp. 1980–1986, 2010.
[16] M. C. Metzger, R. Schön, D. Schulze et al., “Individual preformed titanium mesh for orbital fractures,” Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., vol. 102, no. 4, pp. 442–447, 2006.
[17] J. Al-Sukhun, C. Lindqvist, and R. Kontio, “Orbital fracture management: The use of patient-specific implants,” Ann. Maxillofac. Surg., vol. 2, no. 1, pp. 16–20, 2012.
[18] N. C. Gellrich, R. M. Zimmerer, S. Spalthoff et al., “Computer-assisted secondary reconstruction of unilateral post-traumatic orbital deformity,” J. Oral Maxillofac. Surg., vol. 70, no. 10, pp. 2417–2426, 2012.
