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The customized implants and a corresponding craniotomy template had been designed in the required shape and size by the product manufacturer. Outcomes All clients offered a sphenoorbital meningioma and exophthalmos. After osteoclastic craniotomy with the drilling template, orbital decompression was done. Implant fitting was tight in two instances and could be easily fixated with miniplates and screws. In the 3rd patient, a reoperation ended up being necessary for additional bon