Three-dimensional (3D) printing for post-traumatic orbital reconstruction, a systematic review and meta-analysis
The purpose of this study was to determine if three-dimensional (3D) printed orbit models and preoperative plate contouring provides benefit over traditional surgical reconstruction of orbit fractures. This systematic review and meta-analysis searched five databases to identify cases of 3D printing...
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| Veröffentlicht in: | British journal of oral & maxillofacial surgery 2022-11, Vol.60 (9), p.1176-1183 |
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| container_title | British journal of oral & maxillofacial surgery |
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| creator | Murray-Douglass, Alexander Snoswell, Centaine Winter, Craig Harris, Richard |
| description | The purpose of this study was to determine if three-dimensional (3D) printed orbit models and preoperative plate contouring provides benefit over traditional surgical reconstruction of orbit fractures. This systematic review and meta-analysis searched five databases to identify cases of 3D printing for orbital fracture reconstruction. Primary outcomes were resolution of diplopia and enophthalmos, orbital volume symmetry and operation duration. Meta-analyses were used to calculate log odds ratios (OR) for diplopia and enophthalmos and absolute mean difference for orbital volume. A total of 58 articles describing 906 patient cases were included. A single article for each of diplopia and enophthalmos compared 3D printing with traditional management, which prevented answering the primary research question. However, pre-post meta-analysis showed that postoperative groups were less likely to have diplopia (n = 747, log OR = -2.35, 95%CI -1.72 to -2.98, p |
| doi_str_mv | 10.1016/j.bjoms.2022.07.001 |
| format | Article |
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= 10.91%) and enophthalmos (n = 486, log OR = -2.47, 95%CI -1.95 to -2.99, p < 0.001, I
= 11.33%) than preoperatively. Mean orbital volume did not differ between the repaired and uninjured orbits (n = 290, mean difference = -0.13 cm
, 95%CI -0.48 to 0.22, p = 0.472, I
= 9.48%). Pooled mean operation duration for orbital reconstruction with 3D printing was 67.70 minutes (standard error [SE] = 4.24 minutes). Orbital reconstruction combined with 3D printing adequately restores orbital volume symmetry and improves diplopia and enophthalmos. Due to a lack of controlled studies, it remains unclear what contribution 3D printing alone makes to these results. Three-dimensional printing is likely a safe, accurate and effective adjunct; however, further controlled studies are required.</description><identifier>ISSN: 0266-4356</identifier><identifier>EISSN: 1532-1940</identifier><identifier>DOI: 10.1016/j.bjoms.2022.07.001</identifier><identifier>PMID: 35931592</identifier><language>eng</language><publisher>Scotland</publisher><subject>Diplopia - etiology ; Diplopia - surgery ; Enophthalmos - etiology ; Enophthalmos - surgery ; Humans ; Orbit - surgery ; Orbital Fractures - diagnostic imaging ; Orbital Fractures - surgery ; Plastic Surgery Procedures - methods ; Printing, Three-Dimensional ; Retrospective Studies ; Tomography, X-Ray Computed</subject><ispartof>British journal of oral & maxillofacial surgery, 2022-11, Vol.60 (9), p.1176-1183</ispartof><rights>Copyright © 2022 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c235t-6d47cf1b7148e37c524ebd875e70bba307e10e2e15529fe5e8938376ca323d333</citedby><cites>FETCH-LOGICAL-c235t-6d47cf1b7148e37c524ebd875e70bba307e10e2e15529fe5e8938376ca323d333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35931592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murray-Douglass, Alexander</creatorcontrib><creatorcontrib>Snoswell, Centaine</creatorcontrib><creatorcontrib>Winter, Craig</creatorcontrib><creatorcontrib>Harris, Richard</creatorcontrib><title>Three-dimensional (3D) printing for post-traumatic orbital reconstruction, a systematic review and meta-analysis</title><title>British journal of oral & maxillofacial surgery</title><addtitle>Br J Oral Maxillofac Surg</addtitle><description>The purpose of this study was to determine if three-dimensional (3D) printed orbit models and preoperative plate contouring provides benefit over traditional surgical reconstruction of orbit fractures. This systematic review and meta-analysis searched five databases to identify cases of 3D printing for orbital fracture reconstruction. Primary outcomes were resolution of diplopia and enophthalmos, orbital volume symmetry and operation duration. Meta-analyses were used to calculate log odds ratios (OR) for diplopia and enophthalmos and absolute mean difference for orbital volume. A total of 58 articles describing 906 patient cases were included. A single article for each of diplopia and enophthalmos compared 3D printing with traditional management, which prevented answering the primary research question. However, pre-post meta-analysis showed that postoperative groups were less likely to have diplopia (n = 747, log OR = -2.35, 95%CI -1.72 to -2.98, p < 0.001, I
= 10.91%) and enophthalmos (n = 486, log OR = -2.47, 95%CI -1.95 to -2.99, p < 0.001, I
= 11.33%) than preoperatively. Mean orbital volume did not differ between the repaired and uninjured orbits (n = 290, mean difference = -0.13 cm
, 95%CI -0.48 to 0.22, p = 0.472, I
= 9.48%). Pooled mean operation duration for orbital reconstruction with 3D printing was 67.70 minutes (standard error [SE] = 4.24 minutes). Orbital reconstruction combined with 3D printing adequately restores orbital volume symmetry and improves diplopia and enophthalmos. Due to a lack of controlled studies, it remains unclear what contribution 3D printing alone makes to these results. Three-dimensional printing is likely a safe, accurate and effective adjunct; however, further controlled studies are required.</description><subject>Diplopia - etiology</subject><subject>Diplopia - surgery</subject><subject>Enophthalmos - etiology</subject><subject>Enophthalmos - surgery</subject><subject>Humans</subject><subject>Orbit - surgery</subject><subject>Orbital Fractures - diagnostic imaging</subject><subject>Orbital Fractures - surgery</subject><subject>Plastic Surgery Procedures - methods</subject><subject>Printing, Three-Dimensional</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><issn>0266-4356</issn><issn>1532-1940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMFu2zAQRImgQe24_YIAAY8OUKlLrihaxyJJ0wIGcknPBEWtEhqW6JJUA_99lTjtaS9vZrCPsUsBpQBRf92V7S4MqZQgZQm6BBBnbCkUykI0FXxgS5B1XVSo6gW7SGkHAEoK9ZEtUDUoVCOX7PD4HImKzg80Jh9Gu-drvL3mh-jH7Mcn3ofIDyHlIkc7DTZ7x0NsfZ7BSC6MKcfJ5Tn5hVuejinTCYr0x9MLt2PHB8q2sHP1Mfn0iZ33dp_o8_tdsV_f7x5vfhTbh_ufN9-2hZOoclF3lXa9aLWoNoTaKVlR2220Ig1taxE0CSBJQinZ9KRo0-AGde0sSuwQccXWp95DDL8nStkMPjna7-1IYUpG1k2jQahKzyieUBdDSpF6M38_2Hg0AsyrarMzb6rNq2oD2syq59TV-8DUDtT9z_xzi38BqqJ9CA</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Murray-Douglass, Alexander</creator><creator>Snoswell, Centaine</creator><creator>Winter, Craig</creator><creator>Harris, Richard</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202211</creationdate><title>Three-dimensional (3D) printing for post-traumatic orbital reconstruction, a systematic review and meta-analysis</title><author>Murray-Douglass, Alexander ; Snoswell, Centaine ; Winter, Craig ; Harris, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c235t-6d47cf1b7148e37c524ebd875e70bba307e10e2e15529fe5e8938376ca323d333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Diplopia - etiology</topic><topic>Diplopia - surgery</topic><topic>Enophthalmos - etiology</topic><topic>Enophthalmos - surgery</topic><topic>Humans</topic><topic>Orbit - surgery</topic><topic>Orbital Fractures - diagnostic imaging</topic><topic>Orbital Fractures - surgery</topic><topic>Plastic Surgery Procedures - methods</topic><topic>Printing, Three-Dimensional</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murray-Douglass, Alexander</creatorcontrib><creatorcontrib>Snoswell, Centaine</creatorcontrib><creatorcontrib>Winter, Craig</creatorcontrib><creatorcontrib>Harris, Richard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of oral & maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murray-Douglass, Alexander</au><au>Snoswell, Centaine</au><au>Winter, Craig</au><au>Harris, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-dimensional (3D) printing for post-traumatic orbital reconstruction, a systematic review and meta-analysis</atitle><jtitle>British journal of oral & maxillofacial surgery</jtitle><addtitle>Br J Oral Maxillofac Surg</addtitle><date>2022-11</date><risdate>2022</risdate><volume>60</volume><issue>9</issue><spage>1176</spage><epage>1183</epage><pages>1176-1183</pages><issn>0266-4356</issn><eissn>1532-1940</eissn><abstract>The purpose of this study was to determine if three-dimensional (3D) printed orbit models and preoperative plate contouring provides benefit over traditional surgical reconstruction of orbit fractures. This systematic review and meta-analysis searched five databases to identify cases of 3D printing for orbital fracture reconstruction. Primary outcomes were resolution of diplopia and enophthalmos, orbital volume symmetry and operation duration. Meta-analyses were used to calculate log odds ratios (OR) for diplopia and enophthalmos and absolute mean difference for orbital volume. A total of 58 articles describing 906 patient cases were included. A single article for each of diplopia and enophthalmos compared 3D printing with traditional management, which prevented answering the primary research question. However, pre-post meta-analysis showed that postoperative groups were less likely to have diplopia (n = 747, log OR = -2.35, 95%CI -1.72 to -2.98, p < 0.001, I
= 10.91%) and enophthalmos (n = 486, log OR = -2.47, 95%CI -1.95 to -2.99, p < 0.001, I
= 11.33%) than preoperatively. Mean orbital volume did not differ between the repaired and uninjured orbits (n = 290, mean difference = -0.13 cm
, 95%CI -0.48 to 0.22, p = 0.472, I
= 9.48%). Pooled mean operation duration for orbital reconstruction with 3D printing was 67.70 minutes (standard error [SE] = 4.24 minutes). Orbital reconstruction combined with 3D printing adequately restores orbital volume symmetry and improves diplopia and enophthalmos. Due to a lack of controlled studies, it remains unclear what contribution 3D printing alone makes to these results. Three-dimensional printing is likely a safe, accurate and effective adjunct; however, further controlled studies are required.</abstract><cop>Scotland</cop><pmid>35931592</pmid><doi>10.1016/j.bjoms.2022.07.001</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0266-4356 |
| ispartof | British journal of oral & maxillofacial surgery, 2022-11, Vol.60 (9), p.1176-1183 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Diplopia - etiology Diplopia - surgery Enophthalmos - etiology Enophthalmos - surgery Humans Orbit - surgery Orbital Fractures - diagnostic imaging Orbital Fractures - surgery Plastic Surgery Procedures - methods Printing, Three-Dimensional Retrospective Studies Tomography, X-Ray Computed |
| title | Three-dimensional (3D) printing for post-traumatic orbital reconstruction, a systematic review and meta-analysis |
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