Orbital reconstruction with individually copy-milled ceramic implants

Plast Reconstr Surg. 1998 Mar;101(3):604-12. doi: 10.1097/00006534-199803000-00006.

Abstract

Diagnostic advances such as computed tomography and new surgical techniques have dramatically improved both the functional and aesthetic outcome of orbital reconstructions. Taking a further approach, we designed ceramic implants (Bioverit) on the basis of stereolithographic models. After copy milling a resin template with a commercially available dental unit (Celay), the prefabricated implants were inserted for reconstruction of the lamina papyracea (n = 1), zygomatic complex (n = 2), infraorbital floor (n = 5), and rim (n = 3). Intraoperatively, only slight modifications of the implants had to be performed. The results were encouraging, as all cases showed a good aesthetic and functional postoperative outcome. Preoperative evaluation of the osseous defect and prefabrication of the required implant reduced operating time and patient morbidity significantly.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biocompatible Materials*
  • Ceramics*
  • Computer-Aided Design
  • Equipment Design
  • Esthetics
  • Female
  • Fractures, Malunited / surgery
  • Humans
  • Intraoperative Care
  • Male
  • Orbit / diagnostic imaging
  • Orbit / pathology
  • Orbit / surgery*
  • Orbital Fractures / surgery
  • Osteotomy / instrumentation
  • Osteotomy / methods
  • Plastic Surgery Procedures* / adverse effects
  • Plastic Surgery Procedures* / methods
  • Prostheses and Implants*
  • Reoperation
  • Resins, Synthetic
  • Surface Properties
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Zygoma / diagnostic imaging
  • Zygoma / pathology
  • Zygoma / surgery
  • Zygomatic Fractures / surgery

Substances

  • Biocompatible Materials
  • Resins, Synthetic