Orbital reconstruction with individually copy-milled ceramic implants.
Diagnostic advances such as computed tomography and new surgical techniques have dramatically improved both the functional and aesthetic outcome of orbital reconstructions. Taking a further approach, we designed ceramic implants (Bioverit) on the basis of stereolithographic models. After copy milling a resin template with a commercially available dental unit (Celay), the prefabricated implants were inserted for reconstruction of the lamina papyracea (n = 1), zygomatic complex (n = 2), infraorbital floor (n = 5), and rim (n = 3). Intraoperatively, only slight modifications of the implants had to be performed. The results were encouraging, as all cases showed a good aesthetic and functional postoperative outcome. Preoperative evaluation of the osseous defect and prefabrication of the required implant reduced operating time and patient morbidity significantly.
Hoffmann
J
J
Department of Oral and Maxillofacial Surgery, University of Tübingen, Germany.
Cornelius
C P
CP
Groten
M
M
Pröbster
L
L
Pfannenberg
C
C
Schwenzer
N
N
D000328:Adult; D001672:Biocompatible Materials; D002516:Ceramics; D017076:Computer-Aided Design; D004867:Equipment Design; D004954:Esthetics; D005260:Female; D017759:Fractures, Malunited / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D009915:Orbit / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009917:Orbital Fractures / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012086:Reoperation; D012117:Resins, Synthetic; D013499:Surface Properties; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015050:Zygoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D015051:Zygomatic Fractures / Q000601:surgery
D001672:Biocompatible Materials; D012117:Resins, Synthetic