Abstract
The purpose of this systematic review was to critically analyse the recent literature
and present the state of the art in customised reconstruction of orbital fractures.
Three electronic databases and manual search approaches were used to identify relevant
articles. Only controlled clinical studies were included. Primary outcome was defined
as the status of recovery (complete/partial functional, and aesthetic disturbances).
The benefit of intrasurgical navigation should be described. The secondary outcome
was defined as the time of surgery, post-surgical events, and hospitalisation. Of
the 552 records identified, eight met the inclusion criteria. Post-surgical results
regarding recovery were superior in the customised group, and were comparable to the
control group in five studies. The time of surgery was shorter in the customised groups,
and liquid infusion and time of hospitalisation were reduced. Four studies documented
more accurate reconstruction with the use of navigation. All the studies presented
at least one bias, and considerable heterogeneity was evaluated. This review found
that the use of customised meshes in combination with surgical navigation resulted
in more accurate reconstruction. A significant reduction in surgical time was revealed.
Keywords
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Article Info
Publication History
Published online: October 25, 2021
Accepted:
October 18,
2021
Received:
July 17,
2021
Identification
Copyright
© 2021 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
