Wir verwenden Cookies, um für diese Website Funktionen wie z.B. Login, einen Warenkorb oder die Sprachwahl zu ermöglichen. Weiterhin nutzen wir für anonymisierte, statistische Auswertungen der Nutzung Google Analytics, welches Cookies setzt. Mehr Informationen finden Sie in unserer Datenschutzerklärung.
OK, ich bin einverstanden Ich möchte keine Google Analytics-Cookies
The International Journal of Oral & Maxillofacial Implants
Login:
Benutzername:

Kennwort:

Plattform:

Kennwort vergessen?

Registrieren

Int J Oral Maxillofac Implants 32 (2017), Nr. 3     19. Mai 2017
Int J Oral Maxillofac Implants 32 (2017), Nr. 3  (19.05.2017)

Seite 642-648, doi:10.11607/jomi.5273, PubMed:28494045, Sprache: Englisch


Survival Analysis of Orbital Implants and Potential Influencing Factors: A Retrospective Long-Term Study
Toso, Sabine Maria / Menzel, Kerstin / Raguse, Jan-Dirk / Nahles, Susanne
Purpose: Application of endosseous implants in prosthetic orbital reconstruction seems to be very successful, but few reports have evaluated cumulative survival rates of orbital implants over a long period. The aim of this study was to analyze long-term survival rates and potential influencing factors of orbital implants.
Materials and Methods: A retrospective evaluation of patients treated with extraoral screw implants for retaining orbital prostheses from 1991 to 2014 was performed. Patient records were assessed for implant survival, demographic data, defect etiology, irradiation status, location of implant placement, implant systems, length, and retention type. Data were analyzed using the Kaplan-Meier method and log-rank test to compare survival curves.
Results: A total of 282 orbital implants placed in 78 patients were evaluated during an observation period ranging from 2 to 268 months (mean: 94.97 months). The cumulative implant survival rate was 91.3% at 2 years, 80.5% at 5 years, 68.7% at 10 years, and 62.2% after 15 years. The survival rate was significantly higher in females (75.3%) vs males (47.3%), in supraorbital vs infraorbital implants (67.4% vs 51.5%), and in Brånemark implants (70.2%) vs Straumann implants (54.5%).
Conclusion: The presented data suggest that the long-term predictability of orbital implants revealed good to acceptable results. Factors such as female gender, localization in the supraorbital rim, a machined surface of the implant system, length, and magnetic retention seem to affect the implant survival rate positively, whereas irradiation status does not show any influence. These factors should be considered in planning future patient rehabilitation.

Schlagwörter: exenteration, facial prosthesis, orbital implant, reconstruction
Volltext (keine Berechtigung) einzeln als PDF kaufen (20.00 €)Endnote-Export