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The Egyptian Journal of Plastic and Reconstructive Surgery
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Volume Volume 49 (2025)
Issue Issue 3
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Zeina, A., El Gayar, H., Shouman, O., Abdelhalim, M., Zahra, T. (2025). Orbital Floor Reconstruction Using A Three-Dimensional Printing Technology in Delayed Cases. The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), 197-204. doi: 10.21608/ejprs.2025.444130
Ahmed M Zeina; Hossam El Gayar; Omar Osama Shouman; Mostafa M Abdelhalim; Tarek Zahra. "Orbital Floor Reconstruction Using A Three-Dimensional Printing Technology in Delayed Cases". The Egyptian Journal of Plastic and Reconstructive Surgery, 49, 3, 2025, 197-204. doi: 10.21608/ejprs.2025.444130
Zeina, A., El Gayar, H., Shouman, O., Abdelhalim, M., Zahra, T. (2025). 'Orbital Floor Reconstruction Using A Three-Dimensional Printing Technology in Delayed Cases', The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), pp. 197-204. doi: 10.21608/ejprs.2025.444130
Zeina, A., El Gayar, H., Shouman, O., Abdelhalim, M., Zahra, T. Orbital Floor Reconstruction Using A Three-Dimensional Printing Technology in Delayed Cases. The Egyptian Journal of Plastic and Reconstructive Surgery, 2025; 49(3): 197-204. doi: 10.21608/ejprs.2025.444130

Orbital Floor Reconstruction Using A Three-Dimensional Printing Technology in Delayed Cases

Article 4, Volume 49, Issue 3, July 2025, Page 197-204  XML PDF (1.01 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2025.444130
View on SCiNiTO View on SCiNiTO
Authors
Ahmed M Zeina email ; Hossam El Gayar* ; Omar Osama Shouman; Mostafa M Abdelhalim; Tarek Zahra
The Department of Plastic Surgery, Faculty of Medicine, Mansoura University
Abstract
Aim: Orbital floor fractures are one of the most common
maxillofacial fractures. They account for 10-25% of the total
facial bone fractures. Delayed cases are considered challenges
in orbital floor fractures. The main obstacle is the difficulty
of intraoperative assessment of the fracture defect size because
of fibrous adhesions at the site of fractures. This may
raise the risk of tissue injury and complications. In this study,
we investigated the use of Three-dimensional printing (3DP)
technology in the delayed cases of orbital floor fractures for
proper preoperative assessment of fracture size and minimize
postoperative complications.
Patients and Methods: This prospective study was conducted
on 17 cases with delayed orbital floor fractures. All cases
were delayed by more than one month, the authors applied
the three-dimensional technique for all cases.
Results: The study included 17 cases, 15 males and 2 females.
The mean age of the included cases was 25.8±7.3 SD
years old. The average delay duration was 5.5±3.7 SD months.
Concha graft was used in 11 cases while 6 cases were managed
by titanium mesh. Enophthalmos was improved in 13 cases
postoperatively. Diplopia was improved in all operated cases.
Conclusion: Using a three-dimensional rapid prototype
skull module aid in the accurate preoperative assessment of orbital
floor defects and contouring of titanium mesh and plates
used in orbital fracture repair. Additionally, this shortens the
duration of the operation, uses less general anesthetic, and involves
less tissue handling and dissection during the procedure,
Keywords
Diplopia; Enophthalmos; Inferior orbital wall; Orbital fractures; Three-dimensional printing
Main Subjects
Maxillofacial and cranio-maxillo-facial surgery
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