Orbital Patient-Specific (Customized) Implants: A Report by the American Academy of Ophthalmology.
The existing literature on patient-specific implants for orbital surgery contains a heterogeneity of indications, designs, materials, and reporting.
Orbital Patient-Specific (Customized) Implants: A Report by the American Academy of Ophthalmology.
To review systematically the literature on the efficacy and safety of the use of patient-specific implants (patient-specific implants) in orbital reconstructive surgery.
A total of 19 studies met the study criteria, and the panel methodologist assigned a level III rating to each study.
Eight of the 19 studies compared a patient-specific implants group with a control group (other forms of implants such as preformed, prebent sheets)-5 studies involved acute fracture repair and 3 involved a mixture of acute, delayed, or revision surgery.
The remaining 11 studies did not have a comparison group, and indications included acute fracture repair (n = 2), delayed or secondary fracture repair (n = 3), or an after-tumor resection (n = 5).
The existing literature on patient-specific implants for orbital surgery contains a heterogeneity of indications, designs, materials, and reporting.
Because all studies met level III criteria for evidence, definitive conclusions were limited.
Although anecdotal and low-quality evidence reports showed possible improved outcomes with patient-specific implants compared with non-patient-specific implants, determination of the best applications, designs, outcomes, and safety will require well-designed prospective studies with sufficient postoperative follow-up and outcome metrics.