Meticuly Recognises Dr. Ayan Kumar for Performing Meticuly’s First U.S. Trauma Orbital Floor Reconstruction with a Patient-Specific Implant

While trauma management traditionally relies on off-the-shelf implants due to acute timelines, this landmark procedure highlights a growing shift toward personalised solutions in complex facial trauma. Meticuly is proud to recognise Dr. Ayan Kumar for performing Meticuly’s first orbital floor reconstruction in the United States using a titanium Patient-Specific Implant. This milestone underscores a significant step in Oral and Maxillofacial Surgery, demonstrating how custom digital workflows can overcome the inherent anatomical limits of stock plates in acute reconstructive settings.

The Challenge of Orbital Trauma

The patient presented with a complex orbital floor fracture, a significant clinical challenge in Oral and Maxillofacial Surgery that demands exceptional precision to prevent long-term functional and aesthetic deficits. In trauma care, utilising a Patient-Specific Implant has historically been uncommon. Traditional reconstruction methods often rely on standard, off-the-shelf implants, which make achieving an exact anatomical fit difficult, increasing the risk of long-term double vision (diplopia), eye displacement (enophthalmos), and facial asymmetry.

Personalised Solution for a Complex Case

In April 2025, while serving as an attending surgeon at NYC Health + Hospitals/Bellevue, Dr. Kumar executed Meticuly’s inaugural U.S. orbital floor reconstruction utilising a custom titanium Patient-Specific Implant—proving that bespoke technology can be successfully integrated into complex trauma cases.

Meticuly’s solution overcame the surgical challenges by combining Virtual surgical planning (VSP) and 3D Printing. The customised implant was digitally designed not only to align with the patient’s native anatomy but also to be fully integrated with Dr. Kumar's specific surgical technique, supporting streamlined implant placement according to the surgical plan. This level of personalisation supported a cosmetically tailored outcome through a minimally invasive approach. Meticuly's platform is engineered to support patient-specific anatomical fit and design, supporting surgeons intraoperatively as they manage complex facial trauma.

Surgeon Perspective and Outcome of Patient-Specific Titanium Implant

This successful procedure underscores the increasing shift towards tailored surgical approaches in the United States and validating the clinical utility of personalised implants. Following the procedure, the patient achieved an optimal outcome, confirming the advantage of using a patient-specific fit.

Since the surgery in April 2025, no observed or reported complications have occurred, including no diplopia, infection, implant-related complications, or need for revision surgery.

Meticuly was selected for this case because of their exceptional clinical support and highly responsive engineering partnership throughout the design process. What stood out was the degree of control available during virtual surgical planning, allowing us to meticulously refine the implant contour, edge profile, and overall thickness for this specific reconstruction. The resulting thin, low-profile implant felt tailored rather than templated and seated naturally against the orbital floor. In complex orbital trauma, where fracture patterns rarely follow a standard anatomy, this level of anatomical precision and customisation would be difficult to achieve with a generic plate.

— Dr. Ayan Kumar, Attending Surgeon, NYC Health + Hospitals/Bellevue (at the time of surgery)

Meticuly remains dedicated to collaborating with surgeons globally, expanding access to Patient-Specific Implant solutions, and advancing standard-of-care benchmarks in Oral and Maxillofacial Surgery through Virtual Surgical Planning and precision-driven innovation.