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Updated: Jul 16, 2026
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3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
Published on: August 4, 2020
[Osteointegrated cranio-facial implants: 49 patients report]
A Charpiot1, O Chambres, J F Herve
1CHRU Hôpital de Hautepierre, Service d'ORL et de Chirurgie Cervico-Faciale, Avenue Molière, F-67098 Strasbourg, France. Anne.CHARPIOT@chru-strasbourg.fr
Revue De Laryngologie - Otologie - Rhinologie
|February 24, 2007
Summary
Extraoral osseous implantology offers reliable long-term facial rehabilitation, with high success rates in children. However, radiotherapy significantly reduces osseointegration, particularly for nasal implants.
Area of Science:
- Otorhinolaryngology
- Head and Neck Surgery
- Craniofacial Reconstruction
Background:
- Assessing long-term reliability of craniofacial epitheses.
- Evaluating outcomes in pediatric and irradiated patient populations.
Observation:
- Retrospective study of 51 craniofacial epitheses (auricular, orbito-palpebral, naso-maxillary) in 50 patients since 1992.
- 142 implants analyzed, including 49 in irradiated patients.
- 11 pediatric patients (≤16 years) included.
Findings:
- Overall osseointegration rate of 95.7% in non-irradiated patients vs. 81.6% in irradiated patients.
- Radiotherapy significantly reduces osseointegration, especially for nasal implants.
- Success rates in children were comparable to adults.
Implications:
- Extraoral osseous implantology is a leading rehabilitation strategy for facial defects.
- The technique is valuable in oncology for post-surgical monitoring.
- Further research into optimizing outcomes in irradiated sites is warranted.