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Medicine by Alexandros G.Sfakianakis

Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolao

Medicine by Alexandros G.Sfakianakis

OtoRhinoLaryngology - Head and Neck Surgery

Εμφανιζόμενη ανάρτηση

Peripheral positional vertigo and dizziness (PPVD)

The diagnostic framework of peripheral positional vertigo and dizziness (PPVD): a new concept based on the observation of alcohol-induced po...

Τρίτη, 8 Νοεμβρίου 2016

Ocular Reconstruction Using Bone-Anchored Implants in Irradiated Facial Deformities After Tumor Extirpation

Ocular Reconstruction Using Bone-Anchored Implants in Irradiated Facial Deformities After Tumor Extirpation: imageBackground: Surgical resection of ocular malignancies can result in complex craniofacial defects that can be difficult to reconstruct with conventional reconstruction techniques. Craniofacial prosthesis supported by bone-anchored implants has evolved as a reliable alternative in such scenarios.

Methods: The authors describe a patient who underwent extensive facial resection secondary to squamous cell carcinoma resulting in significant facial deformities. A bone-anchored osseointegrated implant was used to perform facial reconstruction.

Results: The patient had successful reconstruction of her orbit with bone-anchored implant. However, her implant needed to be removed 10 months postoperatively secondary to infection. A second attempt at implant placement has been deferred due to osteonecrosis secondary to adjuvant radiotherapy.

Conclusion: Bone-anchored implants can provide an elegant alternative in the reconstruction of complex facial defects and provide direct access to surveillance for possible tumor recurrence. However, these bone-supported prosthetics should be used with caution in patients undergoing irradiation.

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