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January 1996

Implant-Retained Prosthetic Rehabilitation of Orbital Defects

Author Affiliations

From the Sections of Otolaryngology and Maxillofacial Prosthesis, The University of Chicago Medical Center (Drs Moran and Toljanic), and the Department of Otolaryngology, Rush-Presbyterian—St Luke's Medical Center (Dr Panje), Chicago, Ill.

Arch Otolaryngol Head Neck Surg. 1996;122(1):46-50. doi:10.1001/archotol.1996.01890130040006

Objective:  To evaluate the use of endosseous transcutaneous implants to retain removable facial prostheses for the rehabilitation of orbital defects.

Setting:  Tertiary referral center.

Patients:  Six patients with a history of facial defects secondary to orbital exenteration for cancer ablation.

Outcome Measures:  Clinically noted functional and cosmetic results, patient reports of satisfaction, and complications encountered.

Results:  Twenty-three of 25 implants were integrated (postoperative period, 13 to 65 months; mean, 44.2 months), representing an integration success rate of 92%. All patients were successfully wearing implant-retained prostheses after 48.3 months (postprosthesis delivery period, 1 to 48.3 months; mean, 24.5 months). Overall patient satisfaction was very high.

Conclusions:  Implant-retained prosthetics represent a safe and effective treatment option. It is anticipated that this treatment will become the standard of rehabilitative care for patients with orbital defects.(Arch Otolaryngol Head Neck Surg. 1996;122:46-50)

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