Retrospective Study of Implant-Retained Orbital Prostheses

Abstract

A total of 36 patients (17 men and 19 women) with 109 implants were evaluated. Mean age was 44.8 (18.3) years. The overall cumulative survival rate was 69.4%; 75% for nonirradiated patients and 62.5% for irradiated patients. Three months after prostheses insertion, no skin reaction was observed in 12 patients, grade 1 and 2 reactions was observed in 16 patients, and granulation was observed in 7 patients. In 2 years, grade 2 and 3 reactions decreased. Slight incensement was observed in skin reactions after the second year. Patients' satisfaction on appearance decreased after 1 year. A statistically significant increase was found in comfort, retention, ease of use, and self-confidence (P < 0.05).The long-term predictability of orbital implants is still questionable. Therefore, orbital implants should be used in patients who understand complications, and meticulous hygiene is required. Although complications are relatively frequent in the orbit, implant-retained prostheses enhance the patients' quality of life, providing self-confidence.

Reproducible Major Mold for a Silicone Orbital Prosthesis Prototype

“…Also, osteosarcomas and rhabdomyosarcomas with bone invasion, but these are less common. 1 For the reconstruction of these defects, the free fibula flap is the gold standard treatment in head and neck reconstruction since 1990. 2 In pediatric patients is the best option for mandibular or maxillary defects, for its advantages at the donor site.…”

“…To restore health-related quality of life of patients who underwent orbital resection, the implant-retained resin-based orbital prosthesis was reported as a reliable and satisfactory method. [1][2][3] Although many studies on implant-retained silicon orbital prosthesis (SOP) have been published, reports describing the detailed surgery procedure and fabrication technique remain rare. The fabrication often requires long clinical and laboratory production time, as well as a high level of expertise.…”

“…Reconstruction of orbital composite defects remains a challenge for many plastic and reconstructive surgeons. Orbital defects can be caused by ablation due to malignant diseases or uncontrolled infection as well as by severe trauma from various sources such as an accident or animal bite 1 . The lack of osseous, nervous, and soft tissue support leads to inadequate function and reduced esthetics and can dramatically reduce the health-related quality of life of patients.…”

“…The lack of osseous, nervous, and soft tissue support leads to inadequate function and reduced esthetics and can dramatically reduce the health-related quality of life of patients. To restore health-related quality of life of patients who underwent orbital resection, the implant-retained resin-based orbital prosthesis was reported as a reliable and satisfactory method 1–3 …”

“…Orbital defects can be caused by ablation due to malignant diseases or uncontrolled infection as well as by severe trauma from various sources such as an accident or animal bite. 1 The lack of osseous, nervous, and soft tissue support leads to inadequate function and reduced esthetics and can dramatically reduce the health-related quality of life of patients. To restore health-related quality of life of patients who underwent orbital resection, the implant-retained resin-based orbital prosthesis was reported as a reliable and satisfactory method.…”