Ocular reconstruction using bone-anchored implants in irradiated facial deformities after tumor extirpation
M Singh, R Minasian, M Jackson… - Journal of Craniofacial …, 2016 - journals.lww.com
M Singh, R Minasian, M Jackson, EJ Caterson
Journal of Craniofacial Surgery, 2016•journals.lww.comBackground: 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 …
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 …
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.
Conclusion:
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.
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