Bony Reconstruction in the Orbital Region

Comprehensive surgical management of cherubism with orbital involvement

“…Radiotherapy is not recommended because of the risks of osteoradionecrosis and osteosarcoma induction [10,23,25]. For our first patient, a total maxillectomy was performed following the removal, remodelling, and reimplantation technique (RRR), first described by Martínez-Lage in 1981 [26]. This technique has been successfully used in our Department in selected cases of fibrous dysplasia and cherubism.…”

Fibrous Dysplasia of the Orbital Region: Current Clinical Perspectives in Ophthalmology and Cranio-Maxillofacial Surgery

“…The removed bone affected by FD was modeled and grafted after exposure to a dry, sterile environment for several hours, particularly in the regions in which it is more difficult to obtain a good aesthetic result by using a normal bone graft, such as the superior orbital bar. 16,17 The roof and lateral walls were reconstructed by using normal bone grafts to within a few millimeCase 1. A, Preoperative appearance.…”

“…The use of split calvaria leads to good morphologic results, although modeling cranial grafts is more laborious than modeling ribs, whose greater elasticity and malleability make them easier to shape. 15 A further therapeutic option is the "remove, reshape and reimplant" technique, first described by Martinez-Lage in 1981, 17 whereas other authors advocate boiling the bone before replacing it in the skull. 34,35 The reimplanted bone has little osteogenic capacity and is used as a framework for the migration of osteoblasts from the surrounding normal bone.…”

Three‐Dimensional Alloplastic Orbital Reconstruction in Skull Base Surgery

“…Traditionally, significant osseous orbital defects in craniofacial surgery have been replaced most commonly with calvarial bone grafting using the principles of rigid internal fixation. 1–3 Resorption or secondary malposition is less often a concern with calvarial bone grafts as compared with other sites (iliac crest, rib, etc.). 4 Although calvarial bone graft reconstruction of significant orbital defects is straightforward in theory, achieving reliably rewarding esthetic and functional results is difficult.…”