ABSTRACT
This study discusses the indications, outcomes, and complications in patients that
underwent osseointegrated implantation for skull base rehabilitation. We conducted
a retrospective review of eight patients with skull base defects who had undergone
implantation of a facial prosthetic retention device ± bone-anchored hearing aid at
a tertiary academic referral center. Descriptive analysis of applications, techniques,
outcomes, and complications were reviewed. The majority of patients were males (n = 6) with previously diagnosed skull base malignancy (n = 5) with an average age of 46 (range, 14 to 77). All patients received an implanted
facial prosthetic device either for an aural (n = 7) or orbital (n = 1) prosthesis. There were only two complications that included infection (n = 1) and implant extrusion (n = 1). Osseointegrated implantation of abutments for anchoring prosthetic devices
in patients for skull base rehabilitation provides an excellent cosmetic option with
minimal complications.
KEYWORDS
Craniofacial implants - facial prosthesis - skull base - bone-anchored hearing aid
- rehabilitation
REFERENCES
- 1
Brånemark P I, Adell R, Breine U, Hansson B O, Lindström J, Ohlsson A.
Intra-osseous anchorage of dental prostheses. I. Experimental studies.
Scand J Plast Reconstr Surg.
1969;
3
(2)
81-100
- 2
Tjellström A, Håkansson B.
The bone-anchored hearing aid. Design principles, indications, and long-term clinical
results.
Otolaryngol Clin North Am.
1995;
28
(1)
53-72
- 3
Reyes R A, Tjellström A, Granström G.
Evaluation of implant losses and skin reactions around extraoral bone-anchored implants:
A 0- to 8-year follow-up.
Otolaryngol Head Neck Surg.
2000;
122
(2)
272-276
- 4
Schoen P J, Raghoebar G M, van Oort R P et al..
Treatment outcome of bone-anchored craniofacial prostheses after tumor surgery.
Cancer.
2001;
92
(12)
3045-3050
- 5
Wilkes G H, Wolfaardt J F.
Osseointegrated alloplastic versus autogenous ear reconstruction: criteria for treatment
selection.
Plast Reconstr Surg.
1994;
93
(5)
967-979
- 6
Granström G.
Craniofacial osseointegration.
Oral Dis.
2007;
13
(3)
261-269
- 7
Cass S P, Mudd P A.
Bone-anchored hearing devices: Indications, outcomes, and the linear surgical technique.
Oper Tech Otolaryngol--Head Neck Surg.
2010;
21
197-206
- 8
Brent B.
Auricular repair with autogenous rib cartilage grafts: two decades of experience with
600 cases.
Plast Reconstr Surg.
1992;
90
(3)
355-374
discussion 375-376
- 9
Granström G, Tjellström A, Brånemark P-I.
Osseointegrated implants in irradiated bone: a case-controlled study using adjunctive
hyperbaric oxygen therapy.
J Oral Maxillofac Surg.
1999;
57
(5)
493-499
- 10
Marx R E, Johnson R P.
Studies in the radiobiology of osteoradionecrosis and their clinical significance.
Oral Surg Oral Med Oral Pathol.
1987;
64
(4)
379-390
- 11
Granström G.
Osseointegration in irradiated cancer patients: an analysis with respect to implant
failures.
J Oral Maxillofac Surg.
2005;
63
(5)
579-585
- 12
Donoff R B.
Treatment of the irradiated patient with dental implants: the case against hyperbaric
oxygen treatment.
J Oral Maxillofac Surg.
2006;
64
(5)
819-822
- 13
Granström G.
Placement of dental implants in irradiated bone: the case for using hyperbaric oxygen.
J Oral Maxillofac Surg.
2006;
64
(5)
812-818
Sam J MarzoM.D.
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center
2160 South First Avenue, Maguire Building, Maywood, IL 60153
Email: smarzo@lumc.edu