25th August 18:03
Bone resorption after alloplastic augmentation of the mandible (genioplasty)
An excellent example of why I perform genioplasty with sliding osteotomies
and not silastic or other types of implants (excluding titanium plates &
screws to fixate the segments).
These silastic implants were also popular in orbital floor reconstruction
and I have removed about a half a dozen that were placed years ago.
Recurring infections were the reason for removal. The only good aspect for
the orbital silastic was a thick envelope of scar tissue that helped support
the globe with large floor defects.
David A. King, D.M.D.
Diplomate, American Board of Oral & Maxillofacial Surgery
Fellow, American Association of Oral & Maxillofacial Surgeons
AAOMS Special Committee Member on the New OMS
**Any advice, written or implied, is not a substitute for a thorough