Abstract
The repair of delayed zygomaticomaxillary and orbital floor fractures are surgically challenging due to bony malunion, loss of normal anatomical landmarks and tethered scar tissue. Functional disturbances occur not only due to soft tissue entrapment and scar related tethering but alteration in bony volume and position resulting in hypoglobus and enophthalmos. The use of patient-specific implants (PSI) has been gaining popularity to improve the accuracy of orbital reconstruction. We present a modification in our ORBITAL PSI design to avoid extensive zygomatic osteotomies while still accurately reconstructing the orbit.
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