Clinical efficacy of peek patient-specific implants in orbital reconstruction
Purpose: To assess the clinical efficacy of custom made PEEK patient-specific implants in treatment of orbital wall defects. Methods: Forty-five patients with unilateral post-traumatic orbital wall defects were enrolled in the study. They underwent subsequent reconstructive procedures using PEEK pat...
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| Main Authors: | , , , |
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| Format: | Book |
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Elsevier,
2020-04-01T00:00:00Z.
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| Summary: | Purpose: To assess the clinical efficacy of custom made PEEK patient-specific implants in treatment of orbital wall defects. Methods: Forty-five patients with unilateral post-traumatic orbital wall defects were enrolled in the study. They underwent subsequent reconstructive procedures using PEEK patient-specific implants (PSI) or pre-bent titanium plates. All the patients were examined with the standardized algorithm, including local status examination, vision assessment and computer tomography (CT) with measurements of the orbital volume. A comparative analysis of the treatment outcomes in two groups of patients (pre-bent plates/PSI) was performed. Results: The study findings show an absence of any postoperative infection, inflamation or decreased visual acuity in either group. In PSI group, diplopia after surgery was absent in 82.1% of patients versus 70.6% of controls. The mean duration of surgery was 54.25 ± 16.8 min with PSI application and 82.9 ± 10.8 min with pre-bent plates. The mean difference between the intact and damaged orbital volume was 1.9 ± 1.4 cm3 in the control group versus 0.74 ± 0.6 cm3 in PSI group (р<0.05). Conclusion: PEEK PSI demonstrated higher clinical efficacy in comparison to pre-bent plates in orbital wall reconstruction especially in restoring the volume and shape of the damaged orbit. |
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| Item Description: | 2212-4268 10.1016/j.jobcr.2020.01.006 |