Page 21 - Craniomaxillofacial Implant Surgery - Jeroen P.J. Dings

Aims
• To register the of survival rate of CMF implants being placed during, or
after, ablation of the tumor.
Part III: The clinical outcome of CMF implant surgery was determined by evaluating patient satisfaction after prosthetic rehabilitation and by comparing this with patient satisfaction after autologous reconstructive treatments of comparable CMF defects. Aims
• To describe the long-term quality of life of patients, who have been treated with CMF prostheses with different retentive systems over a 14- year period unit (Chapter 5);
• To measure the subjective perception of medical professionals, laypersons and patients with auricular- or nasal defects with respect to esthetic outcome of autologous versus prosthetic reconstruction of auricular and nasal defects (Chapter 6).
OUTLINE OF THE THESIS
Reconstruction of acquired or congenital defects in the craniomaxillofacial (CMF) region is a complex procedure that leads to miscellaneous results.
The main objectives of this thesis were to gain insight into the common errors in virtual planning and clinical placement of CMF implants, the impact of a CMF reconstruction on the quality of life and patient satisfaction, as well as professional and lay judgment on facial esthetics following reconstruction of CMF defects.
As the position of CMF implants is crucial to obtain the best clinical results and survival rate, the reliability and accuracy of image-guided planning, and consecutive placement of the CMF implants, were assessed in two cadaver studies (Chapters 2 and 3). A retrospective multicenter investigation focused on the survival rate of CMF implants and on the optimal timing of implant placement in relation to ablative surgery (Chapter 4). Lastly, two clinical studies using comprehensive questionnaires were performed. The first to investigate different aspects of satisfaction after CMF prosthetic rehabilitation (Chapter 5) and the second to determine the subjective perception of different observer panels towards various reconstructive treatment
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General introduction and outline of this thesis
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