[Extra-oral implants: indications and contraindications].
Osseointegrated facial prostheses are an interesting solution for maxillofacial rehabilitation when reconstructive surgery cannot be proposed. Progress in epithesis materials and in implantation techniques have renewed interest in maxillofacial prostheses. The best indications are for rehabilitation of nasal, auricular and orbitopalpebral defects. Another indication is complex loss of facial tissue. Endo-osseous epitheses are recommended mainly when there is no possibility of reasonable and satisfactory surgical reconstruction, when local carcinologic prognosis is uncertain, and to respond to the patient's demands. We detail here the precautions necessary when irradiation has been performed previously and finally present the contraindications against epitheses on osseointegrated implants.
Labbé
D
D
labbe-da@chu-caen.fr
Bénateau
H
H
Compère
J F
JF
Sabin
P
P
D001672:Biocompatible Materials; D000075202:Contraindications; D004427:Ear Diseases / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D008447:Maxillofacial Prosthesis; D009668:Nose Diseases / Q000601:surgery; D009916:Orbital Diseases / Q000601:surgery; D016348:Osseointegration; D011379:Prognosis; D019736:Prostheses and Implants; D011474:Prosthesis Design
D001672:Biocompatible Materials