Custom Interlocking Implants for Primary and Secondary Reconstruction of Large Orbital Floor Defects: Case Series and Description of Workflow.

Large fractures of the orbital floor present several technical challenges for the craniomaxillofacial surgeon. One major challenge is limited surgical access as it pertains to the adaption of a large implant within the confines of a small incision. Transfacial approaches or techniques to extend the incision may improve access but have the potential drawback of creating unesthetic scars, nerve injury, and lid contracture. In this series we present a novel solution combining virtual surgical planning and the use of a 2 piece, interlocking patient specific implant to address the problem of limited surgical access.