title: A new modification of the individually designed polymer implant visible in X-ray for orbital reconstruction.
abstract: Orbital reconstruction makes higher demands on symmetry and axial precision than other parts of the skull, because the position of the eye globe determines proper vision. The aim of this study is to evaluate titanium surface marking of polymers (UHMW-PE and PA6) to check implants position in CT examination and clinical application of such modified individual implant. One hundred and twenty-four polymer blocks were prepared. New method of ultrasounds welding to connect the titanium markers to the polymer surface was developed and tested. Titanium marked polymer blocks were examined by CT to evaluate the quality of the cover. Then, two modified UHMW-PE individual implants were applied clinically and implant position was checked by CT. The biggest titanium cover was in PA6 [25 ± 18% of processed surface] and for UHMW-PE [19 ± 12%] without significance [p = 0.14]. Both covers were visible in CT. Clinical application revealed proper reconstruction, uneventful post-operational outcome and well visible surface of the implants in CT. The conducted tests make it possible to determine the suitability of ultrasonic technology for the deposition of titanium markers in polymer. The clinical use of modified individual implants allows to confirm the correct position of the implants because they are accurate visible in CT.
authors: Department of Maxillofacial Surgery (Head: Marcin Kozakiewicz), Medical University of Lodz, ul. Zeromskiego 113, 90-549 Lodz, Poland. Electronic address: ewa.jazwiecka-koscielniak@umed.lodz.pl.
authors: Ewa
authors: E
authors: Jazwiecka-Koscielniak
authors: Department of Maxillofacial Surgery (Head: Marcin Kozakiewicz), Medical University of Lodz, ul. Zeromskiego 113, 90-549 Lodz, Poland. Electronic address: marcin.kozakiewicz@umed.lodz.pl.
authors: Marcin
authors: M
authors: Kozakiewicz
mesh_terms: D000328:Adult; D000497:Alloys; D002209:Caprolactam / Q000031:analogs & derivatives* / Q000737:chemistry; D020099:Coated Materials, Biocompatible / Q000737:chemistry*; D017076:Computer-Aided Design; D003287:Contrast Media / Q000737:chemistry*; D004172:Diplopia / Q000601:surgery; D015841:Enophthalmos / Q000601:surgery; D006801:Humans; D008297:Male; D008422:Materials Testing; D009915:Orbit / Q000601:surgery*; D009917:Orbital Fractures / Q000601:surgery; D011095:Polyethylenes / Q000737:chemistry*; D011108:Polymers / Q000737:chemistry*; D019919:Prosthesis Implantation / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D013526:Surgical Mesh; D000267:Tissue Adhesions / Q000601:surgery; D014025:Titanium / Q000737:chemistry*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014465:Ultrasonics; D014584:User-Computer Interface; D014896:Welding / Q000379:methods
chemical_list: D000497:Alloys; D020099:Coated Materials, Biocompatible; D003287:Contrast Media; D011095:Polyethylenes; D011108:Polymers; C111601:ultra-high molecular weight polyethylene; C031462:titanium alloy (TiAl6V4); C009916:nylon 6; D002209:Caprolactam; D014025:Titanium
keywords: Orbital reconstruction; Polyamide 6; Sonotrode machine; Ultrahigh molecular weight polyethylene