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Title: Surgical Preparation for Mid-face Prosthetic Reconstruction
Authors: Vander Poorten, Vincent # ×
Issue Date: 31-May-2012
Conference: 26th Annual IAA Conference. Anaplastology: Beyond the Horizon location:Gent date:May 30-June 2, 2012
Abstract: The current state of the art in midface prosthetic reconstruction implies bone anchored retention (by means of titanium implants with minimal roughness Sa 0.5-1.0 m)and a mostly magnet retained silicone prosthesis (combining soft structure that adopts body temperature easily and that allows easy introduction of hair and skin pigmentation, with thin transparent edges that camouflage the prosthesis-skin interface). Long-term stability of the implants depends on biocompatibility of the material, implant surface and design, condition of the recipient area, surgical technique, and type and period of the functional loading. Two key elements in this list, the surgical technique and condition of the recipient area, will be covered in this paper from the point of view of the cancer surgeon, for prosthetic rehabilitation of (1) nasal, (2) orbital and (3) complex midfacial defects resulting from ablative cancer surgery. Detail of surgical planning and technical aspects of surgical creation of a stable base for implant placement will be presented, taking into account the effect of radiotherapy on the strategy followed, with emphasis on pre-and postoperative communication with the anaplastologist.
Publication status: published
KU Leuven publication type: IMa
Appears in Collections:Head and Neck Oncology (+)
× corresponding author
# (joint) last author

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