Late Correction of Orbital Deformities Using Customized 3D Implant

Late orbital reconstruction is a complex and challenge for surgeons.The aim of this article is to present complex orbital reconstruction using patient specific implant (PSI) strategy and polyetheretherketone (PEEK).A literature review and a cases series of sequelae after complex orbital trauma are presented; cases with great middle third deformities showing defect in the maxilla, nasal area, body of the zygoma and zygomatic arch were included; in both cases the sequelae was for more than 10 years.Virtual planning and PEEK implants were manufacture using a puzzle (two or three parts) by 3D print or injection.Patients were treated and their surgeries carried out without complications, using a minimal surgical approach.No infections were observed, and after 12 months follow-up they were stable showing normal function.PSI based-PEEK for orbital reconstruction are safe, efficient, effective and to obtain orbital morphology with low complications.