Page 20 - Craniomaxillofacial Implant Surgery - Jeroen P.J. Dings
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Chapter 1
prosthesis, as an extraneous object and that improves function and esthetics from both a psychological- and social point of view69.
Patient satisfaction and the assessment of quality of life (QOL) is becoming increasingly important in the quality of care. Treatment success and the level of reintegration is mainly determined by a subjective analysis of the patient70. In addition, satisfaction is directly related to appropriate retention delivered by CMF implants6. A limited number of studies have primarily focused on quality of care measuring satisfaction after CMF rehabilitation and also on the impact of treatment on the patient’s subjective analysis and functional outcomes22,27,71. Generally, available literature indicates a good overall acceptance of CMF prostheses, showing high satisfaction with anatomic form, color, and wearing comfort72.
4. GENERAL AIMS OF THE THESIS
The overall aim of the research described in this thesis was to assess the clinical outcome of CMF implant surgery in perspective of new planning techniques and to compare these to autologous reconstructions, meaning surgical restoration using patient own tissues.
Part I: This part focuses on the evaluation of CMF implant placement using computer planning and skin-supported surgical templates.
Aims
• To assess the reliability and accuracy of linear measurements on three- dimensional (3D-) cross-sectional images, both acquired with cone- beam computed tomography (CBCT) and multi-detector row CT (MDCT) with regard to guided CMF implant surgery (Chapter 2);
• To determine the accuracy of guided implant placement in the orbital-, nasal- and auricular region using computer-aided designed stereolithographic skin-supported surgical templates ‘with and without’ bone fixation pins (Chapter 3).
Part II: The issue of survival rate of CMF implants being placed during, or after, ablation of the tumor was elucidated in Chapter 4.
























































































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