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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Elsevier
2020-04-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426820300063 |
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| author | Yurii Chepurnyi, PhD Denis Chernogorskyi Andrey Kopchak, DDs, DM Oksana Petrenko, MD, DMs |
| author_facet | Yurii Chepurnyi, PhD Denis Chernogorskyi Andrey Kopchak, DDs, DM Oksana Petrenko, MD, DMs |
| author_sort | Yurii Chepurnyi, PhD |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3f1d4ba5003c4166a2fde9f145bbc350 |
| institution | OA Journals |
| issn | 2212-4268 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-3f1d4ba5003c4166a2fde9f145bbc3502025-08-20T02:01:58ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682020-04-01102495310.1016/j.jobcr.2020.01.006Clinical efficacy of peek patient-specific implants in orbital reconstructionYurii Chepurnyi, PhD0Denis Chernogorskyi1Andrey Kopchak, DDs, DM2Oksana Petrenko, MD, DMs3Bogomolets National Medical University, Stomatological Department, Division of Maxillofacial Surgery, 13, T. Shevchenko blvd, 01601, Kiev, Ukraine; Corresponding author. Bogomolets National Medical University, Stomatology department, Bilorusska street, 17 b, ap. 64, Kiev, Ukraine.Bogomolets National Medical University, Stomatological Department, Division of Maxillofacial Surgery, 13, T. Shevchenko blvd, 01601, Kiev, UkraineBogomolets National Medical University, Stomatological Department, Division of Maxillofacial Surgery, 13, T. Shevchenko blvd, 01601, Kiev, UkraineShupyk National Medical Academy of Postgraduate Education, Division of Ophtalmology, 9 Dorohozhytska Str., 04112, Kiev, UkrainePurpose: 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.http://www.sciencedirect.com/science/article/pii/S2212426820300063Orbital reconstructionPatient-specific implantsPEEK |
| spellingShingle | Yurii Chepurnyi, PhD Denis Chernogorskyi Andrey Kopchak, DDs, DM Oksana Petrenko, MD, DMs Clinical efficacy of peek patient-specific implants in orbital reconstruction Journal of Oral Biology and Craniofacial Research Orbital reconstruction Patient-specific implants PEEK |
| title | Clinical efficacy of peek patient-specific implants in orbital reconstruction |
| title_full | Clinical efficacy of peek patient-specific implants in orbital reconstruction |
| title_fullStr | Clinical efficacy of peek patient-specific implants in orbital reconstruction |
| title_full_unstemmed | Clinical efficacy of peek patient-specific implants in orbital reconstruction |
| title_short | Clinical efficacy of peek patient-specific implants in orbital reconstruction |
| title_sort | clinical efficacy of peek patient specific implants in orbital reconstruction |
| topic | Orbital reconstruction Patient-specific implants PEEK |
| url | http://www.sciencedirect.com/science/article/pii/S2212426820300063 |
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