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Volume 31 , Issue 4
July/August 2016

Pages e98e101

A New Approach to Implant-Based Midface Reconstruction Following Subtotal Maxillectomy

Andrew Dawood, MRD RCS, MSc, BDS/Nicholas Kalavrezos, FRCS, FFD RCSI, MD/Susan Tanner, MRD RCS, MSc, BDS

PMID: 27447167
DOI: 10.11607/jomi.4579

This case presentation describes the reconstruction of an extensive maxillary-orbital defect following subtotal resection of the maxilla en bloc with orbital exenteration in a young adult following the diagnosis of chondrosarcoma. A new approach to composite midface reconstruction with dental implants is described, in which computer-guided surgery (CGS) was used to obliquely position dental implants interradicularly in the residual maxilla, such that the implant tips lie in close proximity to the root apices of the remaining teeth. The implants were then used to fixate a milled-titanium bar, fabricated using computer-aided design and manufacture (CAD/CAM), and provided with attachments for the stabilization and retention of a maxillary obturator.

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