Orbital Defect Reconstruction using Customized Implants: Current Techniques and Long-Term Outcomes in Maxillofacial Surgery.

Nicolay Mijail Hidrobo Muñoz, Mario Roberto Melena Zapata, Doménica Dayana Soto Guerrero, Erika Fernanda Miguez Ortega, Kevin Lenin Lalangui Felicita, Jean Carlo Cedillo, Nadya Sofía Obando Molina, Geovanni Xavier Guevara Guerrero
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Abstract

This systematic review investigates the current methods and long-term results of maxillofacial surgery orbital defect restoration with personalized implants. PRISMA standards were followed in order to identify and analyze pertinent studies that focused on patient-specific implants (PSI) for orbital abnormalities. This was accomplished by a thorough search of multiple databases. The findings demonstrate how well PSI works to improve both functional and cosmetic outcomes, such as the correction of facial asymmetries, enophthalmos, and diplopia. Surgical navigation and 3D printing are examples of cutting-edge technology that have improved orbital defect reconstruction's precision and versatility. While some research points to a trend toward better results when using PSI as opposed to more conventional methods, additional long-term data is required to properly assess its effectiveness. The analysis highlights the role that customized implants play in attaining the best possible outcomes and urges more research to improve surgical methods and assess patient outcomes over long time frames.
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使用定制植入物进行眼眶缺损重建:颌面外科的当前技术和长期效果。
本系统性综述调查了颌面外科使用个性化植入物修复眼眶缺损的现有方法和长期效果。为了识别和分析针对眼眶异常的患者特制植入物(PSI)的相关研究,我们遵循了 PRISMA 标准。为此,我们对多个数据库进行了全面搜索。研究结果表明了 PSI 在改善功能和美容效果方面的效果,如矫正面部不对称、眼球突出和复视。手术导航和三维打印技术是提高眼眶缺损重建精确性和多功能性的尖端技术。虽然一些研究表明,与传统方法相比,使用 PSI 有更好的效果趋势,但要正确评估其有效性,还需要更多的长期数据。该分析强调了定制植入物在获得最佳效果方面的作用,并敦促开展更多研究,以改进手术方法并对患者的效果进行长期评估。
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