{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:23Z","timestamp":1787762063895,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Late reconstructions of gunshot wounds (GSWs) in the orbital area are a true challenge to the oral and maxillofacial surgeon. Usually, the wall defects are large in size and commonly present loss of orbital volume, which can cause ocular dystopia. The only exceptions are when there is an explosion of the orbital walls\u2014that is, blow-out fractures. We encountered a patient with a two-year sequelae after GSW in the face that caused the destructed orbit to have a 2.5 bigger size than the contralateral orbit, requiring meticulous planning of a patient-specific implant (PSI) to correctly reconstruct the orbit volume and bone projection. The PSI was developed using titanium and it had three pieces that could reconstruct all four walls of the orbit. After surgery, the patient regained orbital volume and malar projection, allowing him to benefit from facial symmetry. The PSI can be used to reconstruct all the orbital walls in cases of complex bone defects.<\/jats:p>","DOI":"10.4103\/njms.njms_85_22","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T08:07:23Z","timestamp":1689235643000},"page":"326-329","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Late patient-fitted total orbital reconstruction for facial gunshot wound sequelae"],"prefix":"10.4103","volume":"14","author":[{"given":"Leonardo A. P. F.","family":"Pinto","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery Service, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil"},{"name":"Centro de Tratamento da Face, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo C.","family":"Lima","sequence":"additional","affiliation":[{"name":"Hospital da Boca, Santa Casa da Miseric\u00f3rdia do Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulianna L.","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Master Student in Dental Clinics, Dental School, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo G. N.","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Centro de Tratamento da Face, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"R1-20240908","first-page":"47","article-title":"Reconstruction of gunshot wounds of the face","volume":"9","author":"Deveci","year":"1998","journal-title":"Gazi Med J"},{"key":"R2-20240908","first-page":"132","article-title":"Traumatismes faciaux par arme de chasse \u00e0canon lisse. Analyse d'une s\u00e9rie de 165 cas et r\u00e9\u00e9valuation du traitement primaire [Gunshot injuries of the face. Analysis of 165 cases and reevaluation of the primary treatment]","volume":"43","author":"Siberchicot","year":"1998","journal-title":"Ann Chir Plast Esthet"},{"key":"R3-20240908","first-page":"183","article-title":"Late treatment of blowout fracture of the floor of the orbit. 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