Sun Q, Soh HY, Zhang WB, et al. - In this retrospective study involving 66 patients (42 men, 24 women), researchers determined the clinical outcomes and long‐term stability of individualized titanium mesh combined with free flap for orbital floor reconstruction after maxillectomy and identified the risk factors for titanium mesh exposure. Participants in the study were patients who underwent orbital floor defect reconstruction by individualized titanium mesh plus free ap after maxillectomy at the Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, China, between February 2009 and November 2019. Previous surgery, postoperative radiotherapy, pathological type of the primary lesion, the type of tissue flap applied, and the use of intraoperative navigation were not found to be important risk factors. Maxilla–orbital defects can be easily restored with an individualized titanium mesh with a free flap. Preoperative radiotherapy is an independent predictor of titanium mesh exposure postoperatively. Adequate mesh soft tissue coverage may reduce the risk of mesh exposure.