Preformed titanium meshes: a new standard?

Three-dimensional reconstruction of the orbital floor is the key procedure for a primary or secondary orbital deformity. After the unaffected side is mirrored onto the affected side using the patient's computer-tomography database, the defect can be reconstructed virtually. A measurement procedure that calculates the virtually reconstructed orbital surface data is available. These data are sent to a template machine that reproduces the physical surface. A flat titanium mesh can then be adjusted preoperatively to the spatial configuration of the anatomical structures. This procedure offers optimal anatomical reconstruction of the orbital floor, especially when the deep orbital cone is affected.