Maxillofacial Prosthetic Rehabilitation Using Extraoral Implants
- 1 March 2008
- journal article
- case report
- Published by Wolters Kluwer Health in The Journal of Craniofacial Surgery
- Vol. 19 (2), 398-405
- https://doi.org/10.1097/scs.0b013e318163e443
Abstract
AB The prosthetic rehabilitation is a surgical alternative in functional-aesthetic facial reconstruction when the conventional reconstructive surgery cannot be applied either because of the psychophysical conditions of the patient or because of an excessive substance loss. From May 2002, 35 facial prosthesis (111 implants) have been positioned. Defects were congenital (N = 12), consequent to trauma (N = 8) and to demolitive surgery for malignant tumors (N= 8), and infection (N = 7). In 4 patients, implants were placed in previously irradiated areas. A total of 111 titanium implants were placed to support 21 auricular prostheses (bilateral in 2 cases), 4 orbital prostheses, 8 nasal prostheses, and 2 complex midfacial prostheses. Implant failure was observed for 2 of the 3 implants placed to support a nasal epithesis in a patient with hepatitis C virus, with an important parodontal disease, who experienced a postinfective necrosis of the nose after a liver transplantation; it was necessary to place an adhesive prosthesis. An implant failure was also observed in a diabetic patient with an extensive midfacial defects due to a mycotic infection, but it did not compromise the retention of the prosthesis. According to our experience, the indication to epithesis is when the conventional reconstructive interventions is inapplicable. (C) 2008 Mutaz B. Habal, MKeywords
This publication has 3 references indexed in Scilit:
- Extraoral maxillofacial prosthetic rehabilitation at the M. D. Anderson Cancer Center: A survey of patient attitudes and opinionsThe Journal of Prosthetic Dentistry, 2001
- One-stage procedure to establish osseointegration: a zero to five years follow-up reportThe Journal of Laryngology & Otology, 1995
- Maxillofacial prosthetics and the head and neck cancer patientCancer, 1984