The osseointegration technique for the rehabilitation of the exenterated orbit

Jeffrey A Nerad; Keith D Carter; William E LaVelle; Ann Fyler; Per-Ingvar Brånemark

doi:10.1001/archopht.1991.01080070144054

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The osseointegration technique for the rehabilitation of the exenterated orbit

Journal article

Peer reviewed

The osseointegration technique for the rehabilitation of the exenterated orbit

Jeffrey A Nerad, Keith D Carter, William E LaVelle, Ann Fyler and Per-Ingvar Brånemark

Archives of ophthalmology (1960), Vol.109(7), pp.1032-1038

07/1991

DOI: 10.1001/archopht.1991.01080070144054

PMID: 2064560

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Abstract

Osseointegrated implants can be used successfully to support maxillofacial prostheses. Six patients (aged 37 to 80 years; average age, 68 years) underwent orbital exenteration for eyelid neoplasms infiltrating into the orbit. Each patient underwent a two-stage osseointegration procedure in preparation for fitting an orbital prosthesis. In the first stage, three or four bone-anchored fixtures were placed into the bony orbital rim. Skin penetration and abutment placement were performed in the second-stage operation, performed 3 to 6 months later. Successful osseointegration was achieved in 17 (94.4%) of 18 fixtures in five nonirradiated patients. All five patients were successfully fitted with an implant-retained prosthesis. One patient who underwent irradiation lost all four fixtures that had been placed. This patient chose to wear a black patch rather than a conventional prosthesis held in with adhesive. Average follow-up was 16 months for the five patients who were successfully fitted with orbital prostheses (range, 6 to 30 months).

Osseointegration

Follow-Up Studies

Eye Enucleation

Humans

Middle Aged

Orbit - surgery

Prosthesis Design

Eyelid Neoplasms - surgery

Aged, 80 and over

Adult

Aged

Orbital Neoplasms - surgery

Eye, Artificial

Maxillofacial Prosthesis

Details

Title: Subtitle: The osseointegration technique for the rehabilitation of the exenterated orbit
Creators: Jeffrey A Nerad - Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City 52242
Keith D Carter
William E LaVelle
Ann Fyler
Per-Ingvar Brånemark
Resource Type: Journal article
Publication Details: Archives of ophthalmology (1960), Vol.109(7), pp.1032-1038
DOI: 10.1001/archopht.1991.01080070144054
PMID: 2064560
NLM abbreviation: Arch Ophthalmol
ISSN: 0003-9950
eISSN: 1538-3601
Publisher: American Medical Association; United States
Language: English
Date published: 07/1991
Academic Unit: Otolaryngology; Ophthalmology and Visual Sciences
Record Identifier: 9983980284902771

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