Related Experiment Video
Updated: Mar 9, 2026
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Ocular Reconstruction Using Bone-Anchored Implants in Irradiated Facial Deformities After Tumor Extirpation
Mansher Singh1, Raquel Minasian, Matthew Jackson
1*Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital†Department of Otolaryngology, Massachusetts Eye and Ear, Boston, MA.
Background:
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.
