title: Ocular Reconstruction Using Bone-Anchored Implants in Irradiated Facial Deformities After Tumor Extirpation.
abstract: BACKGROUND
  Surgical resection of ocular malignancies can result in complex craniofacial defects that can be difficult to reconstruct with conventional reconstruction techniques. Craniofacial prosthesis supported by bone-anchored implants has evolved as a reliable alternative in such scenarios.
  
  
  METHODS
  The authors describe a patient who underwent extensive facial resection secondary to squamous cell carcinoma resulting in significant facial deformities. A bone-anchored osseointegrated implant was used to perform facial reconstruction.
  
  
  RESULTS
  The patient had successful reconstruction of her orbit with bone-anchored implant. However, her implant needed to be removed 10 months postoperatively secondary to infection. A second attempt at implant placement has been deferred due to osteonecrosis secondary to adjuvant radiotherapy.
  
  
  CONCLUSIONS
  Bone-anchored implants can provide an elegant alternative in the reconstruction of complex facial defects and provide direct access to surveillance for possible tumor recurrence. However, these bone-supported prosthetics should be used with caution in patients undergoing irradiation.
authors.affiliation: *Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital†Department of Otolaryngology, Massachusetts Eye and Ear, Boston, MA.
authors.forename: Mansher
authors.initials: M
authors.lastname: Singh
authors.forename: Raquel
authors.initials: R
authors.lastname: Minasian
authors.forename: Matthew
authors.initials: M
authors.lastname: Jackson
authors.forename: E J
authors.initials: EJ
authors.lastname: Caterson
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009915:Orbit / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods; D016459:Prosthesis-Related Infections / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000379:methods; D012888:Skull Neoplasms / Q000601:surgery*; D053441:Suture Anchors