Three‐Dimensional Alloplastic Orbital Reconstruction in Skull Base Surgery

Ducic, Yadranko

doi:10.1097/00005537-200107000-00031

Cited by 9 publications

(11 citation statements)

References 15 publications

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Section: Methods and Resultsmentioning

confidence: 99%

“…Temporalis or pericranial flaps are used to fill the dead space created by tumor extirpation and augment dural patching, which is always required. The osseous segments are replaced, and any missing bone is reconstructed with autografts (calvarial bone) or alloplasts (titanium mesh-hydroxyapatite cement) 8,[9][10][11][12][13][14][15]. Perioperative tracheotomy is used in all patients to decrease intracranial contamination and pneumocephalus in the early postoperative period.…”

Section: Technique Highlightsmentioning

confidence: 99%

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Orbitozygomatic Resection of Meningiomas of the Orbit

Ducic¹

2004

The Laryngoscope

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Meningioma of the orbit, whether primary (ectopic) or secondary. should be treated as at other sites with complete surgical excision if possible. Gamma knife or intensity modulated radiotherapy may be useful for residual microscopic disease. Surgical clearance is facilitated with the broad field exposure afforded by the orbitozygomatic approach outlined in the article, with particular attention directed at positive identification of key landmarks particularly in retro-orbital and cavernous sinus extension.

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Section: Methods and Resultsmentioning

confidence: 99%

Section: Technique Highlightsmentioning

confidence: 99%

Orbitozygomatic Resection of Meningiomas of the Orbit

Ducic¹

2004

The Laryngoscope

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“…If the midfacial skeleton was deformed and unsuitable for use as a template for positioning plates, then plates were contoured on a human skull placed in a sterile plastic bag on a side table. 4 Alternatively, a 3-D acrylic model based on the patient's computed tomography scan is used. The model's contour deformity is corrected on a side table with a round burr, followed by placement of positioning plates as mentioned earlier.…”

Section: Methodsmentioning

confidence: 99%

Use of Precontoured Positioning Plates and Pericranial Flaps in Midfacial Reconstruction to Optimize Aesthetic and Functional Outcomes

Ducic

Oxford

2005

Archives of Facial Plastic Surgery

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To present our experience with reconstruction of midfacial defects using "precontoured positioning plates" with or without pericranial flaps and to describe our technique in detail. Methods: Thirty-two consecutive patients with midfacial defects subsequent to oncologic resection that were reconstructed primarily with cranial bone grafts and precontoured positioning plates were reviewed for type of defect, functional outcome, complications, and postoperative appearance. Results: Primary reconstruction of all defects in this series was performed. Defects involved the orbital rim, orbital floor, or both in 28 patients (88%), the body of the zygoma in 24 patients (75%), and extended to the skull base in 16 patients (50%). Pericranial flaps were used to cover the bone grafts in 22 patients (69%). Postoperative radiotherapy was performed in 22 patients (69%),

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“…They are biocompatible, strong, and rarely become infected. [56][57][58] Over the last 2 decades, alloplastic materials have been used more frequently. 30,55 Disadvantages include donor site morbidity as high as 20%, unpredictable reabsorption, and poor shapeability.…”

Section: Implant Materialsmentioning

confidence: 99%