

Implant-prosthetic rehabilitation and ectoprosthetics of a patient with an extensive defect of the right orbit. Clinical case. Part 2
https://doi.org/10.33667/2078-5631-2024-28-55-59
Abstract
Orbital ectoprosthesis is a complex, multifunctional problem. Removal of the right eyeball and surrounding tissues after combined treatment of basal cell carcinoma of the right orbit led to the formation of a defect that disrupted the patient’s quality of life. The key factor for successful treatment is the area of proper placement of implants in the orbit, taking into account the anatomy of the left eye, deep sinking of the surrounding tissues. The rehabilitation of a patient with a defect in the right orbit was implemented using an implant-prosthetic design. At the stages of treatment, the tasks set were solved and original solutions were developed for the full restoration of aesthetics. A clinical case of ectoprosthetics of the right orbit, aspects of design, prototyping and manufacturing of the prosthesis are presented.
About the Authors
V. PutRussian Federation
Vladimir Put, Ph.D, Full Professor
N.V. Sklifosovsky Institute of Clinical Medicine; Department of Oncology, radiology and plastic surgery; Department of oral rehabilitation; Department of Oncology, Radiotherapy and Reconstructive Surgery
Moscow
M. Gladyshev
Russian Federation
Mikhail Gladyshev, assistant
Department of oral rehabilitation
Moscow
A. Dolgalev
Russian Federation
Alexander Dolgalev, Professor
Department of General Practice Dentistry and Pediatric Dentistry
Stavropol
D. Usatov
Russian Federation
Dmitry Usatov, assistant
Department of Oncology, radiology and plastic surgery
Moscow
D. Svyatoslavov
Russian Federation
Dmitry Svyatoslavov, associate professor
Department of Oncology, radiology and plastic surgery
Moscow
P. Gorshenin
Russian Federation
Petr Gorshenin
Moscow
I. Zhurba
Russian Federation
Igor Zhurba
Moscow
E-mail: fxgor@icloud.com
V. Duvidzon
Russian Federation
Vladimir Duvidzon
Moscow
References
1. Epstein JB, Sciubba JJ, Abt E. Evidence base, epidemiology, correlations, and cause and effect: dental caries and head and neck cancer. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(1):1–4. doi: 10.1016/j.oooo.2014.03.011.
2. Narayan TV, Revanna GM, Hallikeri U, Kuriakose MA. Dental Caries and Periodontal Disease Status in Patients with Oral Squamous Cell Carcinoma: A Screening Study in Urban and Semiurban Population of Karnataka. J Maxillofac Oral Surg. 2014;13(4):435–443. doi: 10.1007/s12663-013-0540-5.
3. A Al-Osaimi, M Samman, M Al-Shakhs, F Al-Suhaim, S Ramalingam. An unusual case of atrophic mandible fracture in a patient with osteogenesis imperfecta and on oral bisphosphonate therapy: 2014. Case report. The Saudi dental journal 26 (2), 68-73 doi: 10.1016/j.sdentj.2013.12.008.
4. Dholam KP, Gurav SV. Dental implants in irradiated jaws : A literature review. J Can Res Ther. 2012; 8: 85–9.
5. L. Rasmusson, J Abtahi Bisphosphonate associated osteonecrosis of the jaw: an update on pathophysiology, risk factors, and treatment- International journal of dentistry, 2014. doi: 10.1155/2014/471035.
6. Chang YM, Wallace CG, Hsu YM, Shen YF, Tsai CY, Wei FC. Outcome of osseointegrated dental implants in double-barrel and vertically distracted fibula osteoseptocutaneous free flaps for segmental mandibular defect reconstruction. Plast Reconstr Surg. 2014;134(5):1033–1043. doi: 10.1097/prs.0000000000000623.
7. Yoshimura H, Matsuda S, Ohba S, Minegishi Y, Nakai K, Fujieda S, Sano  K. Stereolithographic model-assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes. Oncol Lett. 2017;14(5):5471–5483. doi: 10.3892/ol.2017.6909.
8. Dikov Y.Y., Sobolevskiy V.A., Kropotov M.A., Ivashkov V.Y. Application of 3d modeling in 3d printing for the lower jaw reconstruction. Head and Neck Tumors (HNT). 2015;5(1):22–26. (In Russ.) doi: 10.17650/2222-1468-2015-1-22-26.
9. Pellegrino G, Tarsitano A, Basile F, Pizzigallo A, Marchetti C. Computer-aided rehabilitation of maxillary oncological defects using zygomatic implants: a defect-based classification. J Oral Maxillofac Surg. 2015;73(12):2446. e1-e11. doi: 10.1016/j.joms.2015.08.020.
10. Dattani A, Richardson D, Butterworth CJ. A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient. Int J Implant Dent. 2017;3(1):9. doi: 10.1186/s40729-017-0073-7.
11. Engelhardt S, Papacosta P, Rathe F, Özen J, Jansen JA, Junker R. Annual failure rates and marginal bone-level changes of immediate compared to conventional loading of dental implants. A systematic review of the literature and meta-analysis. Clin Oral Implants Res. 2015;26(6):671–87. doi: 10.1111/clr.12363.
Review
For citations:
Put V., Gladyshev M., Dolgalev A., Usatov D., Svyatoslavov D., Gorshenin P., Zhurba I., Duvidzon V. Implant-prosthetic rehabilitation and ectoprosthetics of a patient with an extensive defect of the right orbit. Clinical case. Part 2. Medical alphabet. 2024;(28):55-59. (In Russ.) https://doi.org/10.33667/2078-5631-2024-28-55-59