A challenging journey of maxillofacial implants placement and rehabilitation in an irradiated exenterated socket.

ABSTRACT: Rehabilitation of a post-exenterated orbital defect is a necessity, to restore a patient's esthetic appearance and help overcome the associated psychosocial stigma. An implant supported prosthesis enjoys a better patient acceptance due to its superior retention and stability. This clinical report highlights the challenges faced in planning, designing and placement of maxillofacial implants in the supra-orbital rim of an exenterated socket post-radiotherapy along with the management of the unexpected complications which developed subsequently. Administration of hyperbaric oxygen therapy, fabrication of a digitally designed surgical guide to ensure predictable implant placement, selection of surface treated implants for better biomechanical anchorage, and a gentler surgical technique for rec

SUBMITTER: Jain R 

PROVIDER: S-EPMC9011021 | biostudies-literature | 2022 May-Jun

REPOSITORIES: biostudies-literature