Osseointegrated implants for orbito-facial prostheses: Preoperative planning tips and intraoperative pearls

Orbit
Leslie A WeiCat N Burkat

Abstract

Implant-retained facial prostheses are becoming increasingly sophisticated. We describe our experience with successful implant placement. Retrospective case series. Patients with severe unilateral orbital deformity who underwent socket reconstruction with placement of orbital implants were identified. Data on patient age, gender, mechanism of eye, soft tissue, and bone loss, prior reconstructive surgeries and radiation, and orbital imaging were collected and analyzed. Four patients (9 implants) between 2010 and 2014, who had osseointegrated implants placed for orbito-facial prostheses were identified. Three were male, one female. Average age was 59 years (range 34-86). Reason for eye loss was trauma in two patients, exenteration for recurrent rhabdomyosarcoma in one patient, and enucleation for retinoblastoma in one patient. All patients had Vistafix® (Gothenburg, Sweden) osseointegrated titanium implants (4 mm) placed in a 2-stage procedure over a span of 3-6 months with subsequent successful prosthesis fitting. Implant-retained orbito-facial prostheses are safe, easy, and reliable. The ideal socket has minimal dead space, robust bone, and soft tissue 4-5 mm in depth. Preoperative planning should consist of: 1) orbit CT; 2) ca...Continue Reading

References

Jul 1, 1991·Archives of Ophthalmology·J A NeradP I Brånemark
Jan 1, 1970·Scandinavian Journal of Plastic and Reconstructive Surgery·R AdellU Breine
Jan 1, 1969·Scandinavian Journal of Plastic and Reconstructive Surgery·P I BrånemarkA Ohlsson
May 13, 1999·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·G GranströmP I Brånemark
Jul 5, 2001·The British Journal of Oral & Maxillofacial Surgery·M M Abu-SerriahJ Bagg
May 11, 2005·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Gösta Granström
Aug 22, 2006·Clinical Implant Dentistry and Related Research·Pia BolindTomas Albrektsson
Nov 7, 2006·The Journal of Laryngology and Otology·A TjellströmM Odersjö
Jul 9, 2010·The Journal of Craniofacial Surgery·Secil Karakoca NemliYeliz Kasko
Aug 13, 2011·Oral Oncology·J P J DingsG J Meijer
Mar 1, 2012·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Edmond Bedrossian, P-I Brånemark
Mar 28, 2012·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Brent J BenscoterJohn P Leonetti
Jun 16, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Marcos Martins CuriKarina de Cássia Braga Ribeiro
Oct 13, 2012·Oral and Maxillofacial Surgery Clinics of North America·Ju Yon Sophie YiMatthew J Hauck
Jan 19, 2013·The Journal of Prosthetic Dentistry·Secil Karakoca NemliYeliz Kasko Arici
Jan 29, 2013·Health and Quality of Life Outcomes·Arzu AtayÖmer Uysal
Oct 8, 2013·International Journal of Oral and Maxillofacial Surgery·M C L M P de MelloL L Dib
Jun 1, 2014·Clinical Orthopaedics and Related Research·Georgios TsikandylakisRickard Brånemark

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Citations

Sep 11, 2016·Materials Science & Engineering. C, Materials for Biological Applications·Francesco Baino, Isabel Potestio

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