Individual CAD/CAM fabricated glass-bioceramic implants in reconstructive surgery of the bony orbital floor.

Abstract:

BACKGROUND:The aim of the study was to present a set of preliminary cases from an ongoing program of reconstructive procedures using a new technique in the treatment of severe enophthalmos and diplopia after the primary treatment of orbital floor fractures had rendered insufficient results. METHODS:Glass-bioceramic implants were shaped from computed tomography coordinates with computer-assisted design and computer-assisted manufacturing. In this prefabrication process, the implants were milled individually out of a solid block of Bioverit II (3di Gmbh, Jena, Germany). The adequacy of this reconstruction for treating malfunction and aesthetic deficits was evaluated. RESULTS:Eight patients with orbital floor fractures underwent successful surgery. The results were encouraging, with all patients showing a good functional and aesthetic outcome. CONCLUSIONS:Computer-assisted design/computer-assisted manufacturing implants made of Bioverit II can be used for a very accurate and successful secondary reconstruction of the orbital floor. However, it addresses only a few aspects of the treatment of orbital floor fractures and should be considered as an equal alternative to other reconstruction methods.

journal_name

Plast Reconstr Surg

authors

Klein M,Glatzer C

doi

10.1097/01.prs.0000200770.83864.bc

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

565-70

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-200602000-00030

journal_volume

117

pub_type

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