{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:54:23Z","timestamp":1760144063949,"version":"build-2065373602"},"reference-count":47,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Research Foundation of Korea (NRF)","award":["2020R1A2C1100891","2024-003"],"award-info":[{"award-number":["2020R1A2C1100891","2024-003"]}]},{"DOI":"10.13039\/501100003725","name":"Korean government (MSIT)","doi-asserted-by":"publisher","award":["2020R1A2C1100891","2024-003"],"award-info":[{"award-number":["2020R1A2C1100891","2024-003"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Soonchunhyang University Research Fund","award":["2020R1A2C1100891","2024-003"],"award-info":[{"award-number":["2020R1A2C1100891","2024-003"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: During blow-out fracture surgery, restoration of the orbital volume and rigid implant fixation are essential. The migration of an implant is a concern of most surgeons. The purpose of this study was to introduce a simple idea of molding and fixing an orbital implant. Methods: In the tongue-in-groove method, an incision of about 2 mm was made on the edge of the implant and it was bent to form a slot. A hole was made in the center of the implant for fitting a bone hook, and the implant was firmly fit into the remaining intact bone. Before and after surgery, computed tomography (CT) was used to evaluate changes in the orbital volume and the location of the implant. Statistically significant restoration of the orbital volume was confirmed on postoperative CT. Results: Compared with the unaffected orbital volume, the affected orbital volume was increased from 87.06 \u00b1 7.92% before surgery to 96.14 \u00b1 6.11% after surgery (p &lt; 0.001). There was one case of implant migration during follow-up. However, the degree of movement was not severe, and there were no events during the follow-up period. Conclusions: The tongue-in-groove technique offers advantages, such as easy fixation of the implant, with minimal trauma to the surrounding tissues. In addition, the method offers advantages, such as being easy to learn, requiring little time for trimming the implant, and being relatively low cost. Therefore, it can be one of the options for implant fixation.<\/jats:p>","DOI":"10.3390\/jcm13061766","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T05:04:12Z","timestamp":1710911052000},"page":"1766","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tongue-in-Groove: A Novel Implant Design for a Blow-Out Fracture"],"prefix":"10.3390","volume":"13","author":[{"given":"Je-Yeon","family":"Byeon","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital Cheonan, Cheonan 31151, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong-Seon","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital Cheonan, Cheonan 31151, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hwan-Jun","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital Cheonan, Cheonan 31151, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da-Woon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital Cheonan, Cheonan 31151, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun-Hyuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital Cheonan, Cheonan 31151, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.ijporl.2008.01.016","article-title":"A different approach to orbital blow out fractures: Microscope-assisted reconstruction of the orbital floor","volume":"72","author":"Park","year":"2008","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.anl.2016.02.002","article-title":"Successful application of endoscopic modified medial maxillectomy to orbital floor trapdoor fracture in a pediatric patient","volume":"43","author":"Matsuda","year":"2016","journal-title":"Auris Nasus Larynx"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1177\/1943387520939032","article-title":"Orbital Implants in Orbital Fracture Reconstruction: A Ten-Year Series","volume":"14","author":"Seen","year":"2021","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"244","DOI":"10.4103\/SJOPT.SJOPT_49_20","article-title":"Use of custom fabricated surgical jig to improve surgical outcomes in open reduction internal fixation of unilateral orbital fractures: A prospective clinical study","volume":"35","author":"Baviskar","year":"2021","journal-title":"Saudi J. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1016\/j.jcms.2016.07.014","article-title":"A prospective multicenter study to compare the precision of posttraumatic internal orbital reconstruction with standard preformed and individualized orbital implants","volume":"44","author":"Zimmerer","year":"2016","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Sigron, G.R., Barba, M., Chammartin, F., Msallem, B., Berg, B.I., and Thieringer, F.M. (2021). Functional and Cosmetic Outcome after Reconstruction of Isolated, Unilateral Orbital Floor Fractures (Blow-Out Fractures) with and without the Support of 3D-Printed Orbital Anatomical Models. J. Clin. Med., 10.","DOI":"10.3390\/jcm10163509"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e4081","DOI":"10.1097\/GOX.0000000000004081","article-title":"A Novel Patient-specific Titanium Mesh Implant Design for Reconstruction of Complex Orbital Fracture","volume":"10","author":"Kittichokechai","year":"2022","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s12663-019-01207-y","article-title":"Navigation-Assisted Orbital Trauma Reconstruction Using a Bioactive Osteoconductive\/Bioresorbable u-HA\/PLLA System","volume":"18","author":"Kanno","year":"2019","journal-title":"J. Maxillofac. Oral Surg."},{"key":"ref_9","first-page":"84","article-title":"Intraoperative Navigation and Cone Beam Computed Tomography for Restoring Orbital Dimensions: A Single-Center Experience","volume":"2","author":"Abeloos","year":"2020","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/0266-4356(93)90114-C","article-title":"Late extrusion of alloplastic orbital floor implants","volume":"31","author":"Brown","year":"1993","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1097\/01.PRS.0000107655.00920.FA","article-title":"Late presentation of alloplastic implant extrusion","volume":"113","author":"Dancey","year":"2004","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1097\/00006534-198110000-00018","article-title":"Extrusion of an infected orbital-floor prosthesis after 15 years","volume":"68","author":"Weintraub","year":"1981","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e136","DOI":"10.1097\/IOP.0000000000002180","article-title":"Preservation of Infraorbital Nerve in Orbital Floor and Maxillary Defect Reconstruction With Patient-Specific Three-Dimensional Implant: A Case Report","volume":"38","author":"Cung","year":"2022","journal-title":"Ophthalmic Plast. Reconstr. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e572","DOI":"10.1097\/SCS.0000000000008488","article-title":"Implications of an Anatomical Variation of the Infraorbital Nerve in Orbital Floor Reconstruction","volume":"33","author":"Abdelazeem","year":"2022","journal-title":"J. Craniofac. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2693","DOI":"10.2147\/OPTH.S317447","article-title":"The Oculocardiac Reflex: A Review","volume":"24","author":"Arnold","year":"2021","journal-title":"Clin. Ophthalmol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.bjps.2014.04.011","article-title":"Updated scar management practical guidelines: Non-invasive and invasive measures","volume":"67","author":"Monstrey","year":"2014","journal-title":"J. Plast. Reconstr. Aesthet. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.1093\/asj\/sjz036","article-title":"The Surgical Suture","volume":"39","author":"Byrne","year":"2019","journal-title":"Aesthet. Surg. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1055\/s-0037-1598191","article-title":"Orbital Fracture Repair","volume":"31","author":"Grob","year":"2017","journal-title":"Semin. Plast. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1038\/eye.2016.311","article-title":"\u2018Orbital volume restoration rate after orbital fracture\u2019; a CT-based orbital volume measurement for evaluation of orbital wall reconstructive effect","volume":"31","author":"Wi","year":"2017","journal-title":"Eye"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1007\/s00068-021-01716-x","article-title":"Orbital floor fractures: Epidemiology and outcomes of 1594 reconstructions","volume":"48","author":"Seifert","year":"2022","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/01.IOP.0000143715.26518.4C","article-title":"Sutureless transconjunctival repair of orbital blowout fractures","volume":"20","author":"Ho","year":"2004","journal-title":"Ophthalmic Plast. Reconstr. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1016\/0002-9394(76)90074-X","article-title":"Lacrimal obstruction after migration of orbital floor implant","volume":"82","author":"Kohn","year":"1976","journal-title":"Am. J. Ophthalmol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/00002341-199612000-00007","article-title":"Late migration of an orbital implant causing orbital hemorrhage with sudden proptosis and diplopia","volume":"12","author":"Rosen","year":"1996","journal-title":"Ophthalmic Plast. Reconstr. Surg."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1080\/01676830500192092","article-title":"Postoperative blindness following orbital surgery","volume":"24","year":"2005","journal-title":"Orbit"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1055\/s-0034-1393734","article-title":"Traumatic optic neuropathy: A review","volume":"8","author":"Kumaran","year":"2015","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/PRS.0b013e3181f95cfd","article-title":"Inlay implanting technique for the correction of medial orbital wall fracture","volume":"127","author":"Kim","year":"2011","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"164","DOI":"10.7181\/acfs.2019.00304","article-title":"Reconstruction of extended orbital floor fracture using an implantation method of gamma-shaped porous polyethylene","volume":"20","author":"Hwang","year":"2019","journal-title":"Arch. Craniofac. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/00001665-200207000-00006","article-title":"Alloplastic template fixation of blow-out fracture","volume":"13","author":"Hwang","year":"2002","journal-title":"J. Craniofac. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Ngo, H.X., Bai, Y., Sha, J., Ishizuka, S., Toda, E., Osako, R., Kato, A., Morioka, R., Ramanathan, M., and Tatsumi, H. (2021). A Narrative Review of u-HA\/PLLA, a Bioactive Resorbable Reconstruction Material: Applications in Oral and Maxillofacial Surgery. Materials, 15.","DOI":"10.3390\/ma15010150"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s12663-020-01407-x","article-title":"Reconstruction of Orbital Floor Fractures with Titanium Micromesh: Our Experience","volume":"21","author":"Chattopadhyay","year":"2022","journal-title":"Maxillofac. Oral Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2030","DOI":"10.1016\/j.ophtha.2005.06.012","article-title":"Orbital cellulitis: A rare complication after orbital blowout fracture","volume":"112","author":"Simon","year":"2005","journal-title":"Ophthalmology"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"463","DOI":"10.21037\/atm-21-598","article-title":"Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: A modified technique","volume":"9","author":"Yu","year":"2021","journal-title":"Ann. Transl. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/00001665-199905000-00012","article-title":"A biomechanical analysis of the orbitozygomatic complex in human cadavers: Examination of load sharing and failure patterns following fixation with titanium and bioresorbable plating systems","volume":"10","author":"Kasrai","year":"1999","journal-title":"J. Craniofac. Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1111\/joa.13136","article-title":"Restoration of the inferomedial orbital strut using a standardized three-dimensional printing implant","volume":"236","author":"Kim","year":"2020","journal-title":"J. Anat."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Wilkat, M., Hufendiek, K., Karahisarlioglu, M., Borrelli, M., Sproll, C., and Rana, M. (2022). Prospective Evaluation of Two Wall Orbital Fractures Involving the Medial Orbital Wall: PSI Reconstruction versus PDS Repair-Worth the Effort?. J. Pers. Med., 12.","DOI":"10.3390\/jpm12091389"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.jcms.2018.02.003","article-title":"Characterization of the orbital volume in normal population","volume":"46","author":"Andrades","year":"2018","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"8526","DOI":"10.1038\/srep08526","article-title":"Normal values of Hertel exophthalmometry in a Chinese Han population from Shenyang, Northeast China","volume":"5","author":"Wu","year":"2015","journal-title":"Sci. Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1038\/sj.eye.6702376","article-title":"Update on orbital anatomy","volume":"20","year":"2006","journal-title":"Eye"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e752","DOI":"10.1097\/SCS.0000000000002208","article-title":"The Paradoxical Predominance of Medial Wall Injuries in Blowout Fracture","volume":"26","author":"Choi","year":"2015","journal-title":"J. Craniofac. Surg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/SCS.0000000000003238","article-title":"Fenestration of Solid Orbital Implants: Reducing Retrobulbar Hematoma Rate","volume":"28","author":"Farber","year":"2017","journal-title":"J. Craniofac. Surg."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Sivam, A., and Enninghorst, N. (2022). The Dilemma of Reconstructive Material Choice for Orbital Floor Fracture: A Narrative Review. Medicines, 9.","DOI":"10.3390\/medicines9010006"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/01676830.2020.1862245","article-title":"Lower eyelid malposition following repair of complex orbitofacial trauma","volume":"41","author":"North","year":"2022","journal-title":"Orbit"},{"key":"ref_43","first-page":"693607","article-title":"A Functional Radiological and Soft Tissue Classification to Predict Outcomes in Orbital Fracture Surgery in a Multidisciplinary \u201cReal-World\u201d Setting","volume":"8","author":"Yang","year":"2021","journal-title":"Ront. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.jcjo.2017.01.013","article-title":"Ocular injury in orbital fractures at a level I trauma center","volume":"52","author":"Ross","year":"2017","journal-title":"Can. J. Ophthalmol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/0266-4356(91)90114-K","article-title":"The characteristics of midfacial fractures and the association with ocular injury: A prospective study","volume":"29","author":"Stassen","year":"1991","journal-title":"Br. J. Oral. Maxillofac. Surg."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/SAP.0000000000000748","article-title":"The Incidence of Ocular Injuries in Isolated Orbital Fractures","volume":"78","author":"Ho","year":"2017","journal-title":"Ann. Plast. Surg."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/00006534-197901000-00005","article-title":"Review of 1,000 major facial fractures and associated injuries","volume":"63","author":"Luce","year":"1979","journal-title":"Plast. Reconstr. Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/6\/1766\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:16:07Z","timestamp":1760105767000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/6\/1766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,19]]},"references-count":47,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["jcm13061766"],"URL":"https:\/\/doi.org\/10.3390\/jcm13061766","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2024,3,19]]}}}