G. Granstrom et al., BONE-ANCHORED RECONSTRUCTION OF THE IRRADIATED HEAD AND NECK-CANCER PATIENT, Otolaryngology and head and neck surgery, 108(4), 1993, pp. 334-343
Titanium implants in facial bones for retention of epitheses or dental
bridges were used for reconstruction in cancer patients after tumor s
urgery. Even heavily irradiated bones could integrate the implants and
bear the load from the epithesis. No major complications, such as wou
nd infection, fistulation, or osteoradionecrosis, occurred after impla
nt surgery. There was, however, an increased loss of implants with tim
e after irradiation, especially in the orbital region. When hyperbaric
oxygen was used as adjunctive treatment, implant losses were reduced.