[Orbital filling using a vascularized parietal bone graft: a case report of rehabilitation with an orbital graft of axial implants].
Orbital and intracranial complications of dental cellulitis are exceptional. The authors report such a case with orbital cellulitis and frontal abscess that dictated orbital exenteration with resection of the eyelids. Before realization of an implant supported epithesis, the orbit was filled with a prefabricated vascularized fascio-osseous parietal bone flap. This allowed placement of two extra-oral fixtures (Nobel biocare) in an antero-posterior axis. In some cases, preimplant orbital bone graft appears to be the only solution when implant placement in the orbital rim is impossible or contra-indicated. Indications, advantages and disadvantages of this technique will be discussed.
Lockhart
R
R
Clinique de stomatologie et chirurgie maxillofaciale, groupe hospitalier Pitié-Salpêtrière, Paris, France.
Maladière
E
E
Dichamp
J
J
Bertrand
J C
JC
D000328:Adult; D001365:Axilla; D006801:Humans; D008297:Male; D009915:Orbit / Q000601:surgery*; D010294:Parietal Bone / Q000098:blood supply* / Q000637:transplantation*; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps
Comblement orbitaire par greffe osseuse pariétale vascularisée: à propos d'un cas de réhabilitation par épithèse oculopalpébrale sur implants axiaux.