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April 1988

The Bone-Anchored Orbital Epistheses

Author Affiliations

Syracuse, NY

Arch Otolaryngol Head Neck Surg. 1988;114(4):371. doi:10.1001/archotol.1988.01860160013002

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The use of bone-anchored epistheses for prosthetic reconstruction of orbital defects was presented by Magnus Jacobsson, MD, PhD, Göteborg, Sweden. Fifteen consecutive patients, ranging from 29 to 80 years of age, with congenital or acquired orbital defects were studied to evaluate the success of the technique. The procedure involves two stages. At the first operation, the titanium fixtures were implanted into the bone of the superior and/or lateral orbital rims. At a second procedure, carried out three to 14 months later, a skin-penetrating titanium abutment was applied onto each implanted fixture. The epistheses were then sculpted, and the retention elements were fitted onto the skin-penetrating abutments.

In all, 53 fixtures were implanted in 15 patients, two to five having been placed in each patient. Ten patients had received prior radiation therapy. Follow-up ranged from four to 62 months (average, 29 months), and 37 of the 53 implants became osteointegrated during

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