A new implant site in iliac crest bone graft for retention of orbital epistheses: a preliminary report.
Osseointegrated percutaneous implants were placed at different sites of the facial skeleton to improve the retention of facial prostheses. Based on four cases a new implant position in autogenous bone grafts for retention of orbital restorations is described. As a first step an autogenous iliac bone graft was transplanted into the orbit. After a minimum interval of 3 months endosseous implants were placed into the grafted bone in axial direction in the middle of the orbit. A third operation several months later uncovered the implants. Using single free-standing rare earth magnetic attachments the orbital episthesis or the eye prosthesis was reliably stabilized. In all cases the bone grafts were integrated at the host site. Nine implants with a follow-up period of 4-66 months have been placed of which one was lost. The patients experienced subjective and objective improvement. Indications and advantages of the method are discussed.
Scherer
U J
UJ
Department of Maxillofacial Surgery, University of Tübingen, Germany.
Schwenzer
N
N
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D004954:Esthetics; D015807:Eye Injuries, Penetrating / Q000601:surgery; D005134:Eye Neoplasms / Q000601:surgery; D005137:Eye, Artificial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium; D008280:Magnetics; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D016348:Osseointegration; D019736:Prostheses and Implants; D011474:Prosthesis Design; D015203:Reproducibility of Results; D013524:Surgical Flaps / Q000379:methods; D014948:Wounds, Gunshot / Q000601:surgery