TY - GEN A1 - Shtin, Valentin A1 - Novikov, Valeriy A1 - Chekalkin, Timofey A1 - Gunther, Victor A1 - Marchenko, Ekaterina A1 - Choynzonov, Evgeniy A1 - Baik Kang, Seung A1 - Jong Chang, Moon A1 - Hoon Kang, Ji A1 - Obrosov, Aleksei T1 - Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts T2 - Journal of Functional Biomaterials N2 - Repairs of orbital post-traumatic and extensive malignant defects remain a major surgical challenge, in view of follow-up outcomes. Incorrect surgical management of injured facial structures results in cosmetic, ophthalmic, and social aftereffects. A custom-made knitted TiNi-based mesh (KTNM) endograft was employed to overcome post-surgical complications and post-resected lesions of the orbital area. Preoperative high-resolution computed tomography (CT) imaging and CAD modelling were used to design the customized KTNM in each case. Twenty-five patients underwent surgery utilizing the suggested technique, from 2014 to 2019. In all documented cases, resolution of the ophthalmic malfunction was noted in the early period. Follow-up observation evidenced no relapsed enophthalmos, hypoglobus, or diplopia as late complications. The findings emanating from our clinical observations allow us to claim that the KTNM indicated a high level of biocompatibility. It is simply modified intraoperatively to attach any desired shape/size for implantation and can also be screw-fixed, providing a good supporting ability. The KTNM precisely renders orbitozygomatic outlines and orbital floor, thus recovering the anatomical structure, and is regarded as an attractive alternative to Ti-based meshes and plates. Additionally, we report one of the studied cases, where good functional and cosmetic outcomes have been achieved. KW - diplopia KW - enophthalmos KW - orbital defect repair KW - TiNi mesh Y1 - 2019 UR - https://opus4.kobv.de/opus4-UBICO/frontdoor/index/index/docId/24188 UR - https://www.mdpi.com/2079-4983/10/3/27 SN - 2079-4983 VL - 10 IS - 3 ER -