ORBITAL RECONSTRUCTION WITH INDIVIDUALLY COPY-MILLED CERAMIC IMPLANTS

Diagnostic advances such as computed tomography and new surgical techn iques hare dramatically improved both the functional and aesthetic out come of orbital reconstructions. Taking a further approach, we designe d ceramic implants (Bioverit) on the basis of stereolithographic model s. After copy milling a resin template with a commercially available d ental unit (Celay), the prefabricated implants were inserted for recon struction of the lamina papyracea (n = 1), zygomatic complex (n = 2), infraorbital floor (n = 5), and rim (n = 3). Intraoperatively, only sl ight modifications of the implants had to be performed. The results we re encouraging, as all cases showed a good aesthetic and functional po stoperative outcome. Preoperative evaluation of the osseous defect and prefabrication of the required implant reduced operating time and pat ient morbidity significantly.