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Implant-retained prosthetic rehabilitation of orbital defects
W J Moran1, J A Toljanic, W R Panje
1Section of Otolaryngology, University of Chicago Medical Center, Ill., USA.
Objective:
To evaluate the use of endosseous transcutaneous implants to retain removable facial prostheses for the rehabilitation of orbital defects.
Setting:
Tertiary referral center.
Patients:
Six patients with a history of facial defects secondary to orbital exenteration for cancer ablation.
Outcome Measures:
Clinically noted functional and cosmetic results, patient reports of satisfaction, and complications encountered.
Results:
Twenty-three of 25 implants were integrated (postoperative period, 13 to 65 months; mean, 44.2 months), representing an integration success rate of 92%. All patients were successfully wearing implant-retained prostheses after 48.3 months (post-prosthesis delivery period, 1 to 48.3 months; mean, 24.5 months). Overall patient satisfaction was very high.
Conclusions:
Implant-retained prosthetics represent a safe and effective treatment option. It is anticipated that this treatment will become the standard of rehabilitative care for patients with orbital defects.
