1.1
Current evidence on the efficacy and safety of customised titanium implant insertion for orofacial reconstruction, including reconstruction of the orbital floor, where implants are covered or expected to become substantially covered with soft tissue, is adequate for this procedure to be used with normal arrangements for clinical governance, consent and audit or research. This guidance does not cover complex orofacial reconstruction involving multiple bony and cartilaginous structures, with little or no soft tissue cover.