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This episode was produced by Dr. Lilangi Ediriwickrema and Mederated by Dr. Nicole Topilow.

In Pearls on Complex Orbital Reconstruction, Dr. Nicole Topilow moderates a dynamic roundtable with Drs. Grant, Tao, and Kikkawa exploring pre-operative planning, timing of acute versus delayed repairs, and key surgical landmarks in orbital fracture management. The panel dives into implant selection, fixation strategies, customization and 3D printing, and how their approaches have evolved over time. Challenging cases such as large floor and medial wall defects, delayed enophthalmos, infected implants, and post-operative complications are discussed with practical, experience-driven insights. The episode concludes with expert take-home pearls to guide surgeons in managing complex orbital reconstructions with confidence and precision.