Calcium phosphate cement in orbital reconstructions

J Craniofac Surg. 2012 Jan;23(1):145-8. doi: 10.1097/SCS.0b013e3182413d31.

Abstract

Treatment of facial trauma sequelae is a complex and challenging process. There is still controversy over suitable materials for orbital wall reconstruction. This study evaluated calcium phosphate cement (CPC) implants manufactured by rapid prototyping in the repair of orbital wall defects secondary to trauma. Computed tomographic scans of 5 patients were used for surgery planning and production of CPC implants. Implants were used to restore orbital wall anatomy, ocular alignment, and facial contour. Benefits resulting from the use of implants, such as a reduced operating time, patient response to biomaterial implantation, biomaterial integrity and stability, and patient satisfaction with treatment, were analyzed qualitatively. Our results suggest that CPC is an effective and safe material for orbital reconstruction because of its biocompatibility and easy production and placement.

MeSH terms

  • Adult
  • Biocompatible Materials / chemistry
  • Biocompatible Materials / therapeutic use*
  • Bone Substitutes / chemistry
  • Bone Substitutes / therapeutic use*
  • Calcium Phosphates / chemistry
  • Calcium Phosphates / therapeutic use*
  • Calcium Sulfate / chemistry
  • Computer-Aided Design
  • Diplopia / surgery
  • Enophthalmos / surgery
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Male
  • Middle Aged
  • Ocular Motility Disorders / surgery
  • Orbit / surgery*
  • Orbital Diseases / surgery
  • Orbital Fractures / surgery*
  • Patient Care Planning
  • Patient Safety
  • Patient Satisfaction
  • Phosphates / chemistry
  • Plastic Surgery Procedures / methods*
  • Prospective Studies
  • Prostheses and Implants*
  • Prosthesis Design
  • Time Factors
  • Tomography, Spiral Computed
  • Treatment Outcome

Substances

  • Biocompatible Materials
  • Bone Substitutes
  • Calcium Phosphates
  • Phosphates
  • calcium phosphate
  • tricalcium phosphate
  • sodium phosphate
  • Calcium Sulfate