التفاصيل البيبلوغرافية
| العنوان: |
Critical appraisal of patient-specific implants for secondary post-traumatic orbital reconstruction. |
| المؤلفون: |
Schreurs, R., Klop, C., Gooris, P.J.J., Maal, T.J.J., Becking, A.G., Dubois, L. |
| المصدر: |
International Journal of Oral & Maxillofacial Surgery; Jun2022, Vol. 51 Issue 6, p790-798, 9p |
| مصطلحات موضوعية: |
EYE-socket fractures, TREATMENT effectiveness, DIPLOPIA, PERCENTILES, ENUCLEATION of the eye |
| مستخلص: |
In orbital reconstruction, a patient-specific implant (PSI) may provide accurate reconstruction in complex cases, since the design can be tailored to the anatomy. Several design options may be embedded, for ease of positioning and precision of reconstruction. This study describes a cohort of 22 patients treated for secondary orbital reconstruction with a PSI; one patient received two PSI. The preoperative clinical characteristics and implant design options used are presented. When compared to preoperative characteristics, the postoperative clinical outcomes showed significant improvements in terms of enophthalmos (P < 0.001), diplopia (P < 0.001), and hypoglobus (P = 0.002). The implant position in all previous reconstructions was considered inadequate. Quantitative analysis after PSI reconstruction showed accurate positioning of the implant, with small median and 90th percentile deviations (roll: median 1.3°, 90th percentile 4.6°; pitch: median 1.4°, 90th percentile 3.9°; yaw: median 1.0°, 90th percentile 4.4°; translation: median 1.4 mm, 90th percentile 2.7 mm). Rim support proved to be a significant predictor of roll and rim extension for yaw. No significant relationship between design options or PSI position and clinical outcomes could be established. The results of this study show the benefits of PSI for the clinical outcomes in a large cohort of secondary post-traumatic orbital reconstructions. [ABSTRACT FROM AUTHOR] |
|
Copyright of International Journal of Oral & Maxillofacial Surgery is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Supplemental Index |
Full Text via ClinicalKey 
Full Text Finder