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R_Bibb_Medical_Modelling_The_Application_of_Adv.pdf

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Case studies 147<br />

6.28 Plain radiograph in the lateral plane showing the position <strong>of</strong> the<br />

implant post-operatively.<br />

techniques are simple and readily available in most maxill<strong>of</strong>acial laboratories.<br />

<strong>The</strong> models require <strong>of</strong>f-site production, but their use is particularly<br />

valid in cases where defects may be complicated in three dimensions and<br />

where operating time should be reduced to a minimum. <strong>The</strong> cost <strong>of</strong> construction<br />

<strong>of</strong> models will drop substantially if numbers increase, and the<br />

technique may <strong>of</strong>fer a fi nancially viable alternative to current orbital fl oor<br />

prostheses.<br />

6.5.6 References<br />

1. Courtney D J, Thomas S, Whitfi eld P H (2000), ‘Isolated orbital blow out fractures:<br />

survey and review’, British Journal <strong>of</strong> Oral and Maxill<strong>of</strong>acial Surgery, 38,<br />

496–503.<br />

2. Morriston A D, Sanderson R, Moos K F (1995), ‘<strong>The</strong> use <strong>of</strong> silastic as an orbital<br />

implant for reconstruction <strong>of</strong> orbital wall defects: review <strong>of</strong> 311 cases treated<br />

over 20 years’, Journal <strong>of</strong> Oral and Maxill<strong>of</strong>acial Surgery, 53, 412–17.<br />

3. Rubin P A D, Bilyk J R, Shore J W (1994), ‘Orbital reconstruction using porous<br />

polyethylene sheets’, Opthalmology, 101, 1697–708.<br />

4. Iizuka T, Mikkonen P, Paukku P, Lindqvist C (1991), ‘Reconstruction <strong>of</strong> orbital<br />

fl oor with polydioxanone plate’, International Journal <strong>of</strong> Oral and Maxill<strong>of</strong>acial<br />

Surgery, 20 (2), 83–7.<br />

5. Kinnunen I, Aitasalo K, Pollonen M, Varpula (2000), ‘Reconstruction <strong>of</strong> orbital<br />

fl oor fractures using bioactive glass’, Journal <strong>of</strong> Craniomaxill<strong>of</strong>acial Surgery, 4,<br />

229–34.

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