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European Journal of Oral and Maxillofacial Surgery 2017 December;1(3):87-92

DOI: 10.23736/S2532-3466.17.00121-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Primary reconstruction with PEEK implant of an intraosseous venous malformation of the lateral orbital rim

Roberto RIZZO 1 , Fulvia COSTANTINIDES 1, Rossana BUSSANI 2, Michele MAGLIONE 1

1 Unit of Oral and Maxillofacial Surgery, Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy; 2 Unit of Pathology and Morbid Anatomy, Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy


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Vascular malformations are rare in the orbito-malar region being 64 cases only described since 1950. After ablation, reconstruction is crucial to avoid facial deformities. A 76-year-old male case complaining of a painful left orbital swelling is reported. TC and MRI showed the intraosseous vasal malformation imaging pattern. A segmental orbital ostectomy with immediate PEEK implant reconstruction was performed. Histopathology and immunopathology confirmed the nature of the lesion. At 1 month, the patient was satisfied about the appearance. Medical history and digital imaging patterns allow to avoid the risks of severe hemorrhage from a bony biopsy which can be life-threatening; one-block excision is the treatment of choice, reconstruction is challenging for facial aesthetics. Computer assisted reconstruction, allows to produce an alloplastic customized implant, mirroring the unaffected side into the defect, reducing operation time and overall morbidity. Histopathology and immunohistochemistry define clearly the nature of the lesion.


KEY WORDS: Polyetheretherketone - Reconstructive surgical procedures - Primary intraosseous vascular malformation - Orbital implants

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Publication History

Issue published online: November 9, 2017
Manuscript accepted: September 1, 2017
Manuscript received: July 31, 2017

Per citare questo articolo

Rizzo R, Costantinides F, Bussani R, Maglione M. Primary reconstruction with PEEK implant of an intraosseous venous malformation of the lateral orbital rim. Eur J Oral Maxillofac Surg 2017;1:87-92. DOI: 10.23736/S2532-3466.17.00121-7

Corresponding author e-mail

r.rizzo@fmc.units.it