الفهرس 
Patient specific orbital implant utilizing Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) technique for unilateral zygomatico-orbital fracture reduction and fixation ( Pilot study)
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Abstract
evaluate the clinical and radiographic outcomes of this customized CAD/CAM plate after orbital reduction and fixation
Methodology: All cases will undergo surgery under general anesthesia with nasotracheal intubation.
Fracture site will be exposed and reduced in normal anatomic position guided by theCAD/CAM implant.
Fracture fragments will be fixed using CAD/CAM implant utilizing 1.5 mm screws.
Results: No significant intraoperative complications were encountered.
Delayed cases operated-on 3 weeks or more after injury showed thick fibrous
formation at the fractured sites which lead to a relative difficulty in reducing the
zygomatic bone and exposing the orbital defects.
Early post-operative period
All patients showed marked periorbital edema during the early follow-up period
on their presentation for suture removal when indicated as lateral canthotomy and
lateral
extension were performed.
Conclusion: This technique is simple and reliable and the operating time can be reduced to the minimum also the cost of the plate can be decreased by the increase in number of cases