Midface reconstruction using customized Bioverit implant

Introduction Bioverit​ is a suitable glass ceramic implant for the reconstruction of hard tissue defects, e.g. in the context of tumor surgery for malignant tumors in the head and neck region. According to the individual defect, this can be manufactured in a personalized way.

Methods We report on three patients in whom Bioverit​ was successfully used for midface reconstruction in malignant tumors in the head and neck region. In the first patient, partial maxillotomy and partial cheek resection was performed for basal cell carcinoma of the right cheek with bony infiltration of the maxilla. R0 resection was followed by maxillary reconstruction with Bioverit​ implant and defect coverage with radial flap. The second patient underwent subtotal transfacial maxillectomy for left maxillary sinus squamous cell carcinoma followed by maxillary sinus reconstruction with Bioverit​. The third patient underwent salvage surgery for partial maxillotomy and orbital floor resection as well as partial resection periorbital right for malignant melanoma of the maxillary sinus on the right with infiltration of the lacrimal duct and periorbita. Here, midface reconstruction of the orbit as well as the maxillary sinus on the right was subsequently performed using Bioverit​.

Results According to the preoperative planning, the implants could be implanted in the defect with a perfect fit. All patients tolerated the Bioverit​ implantation well. Postoperatively, there was no superinfection or wound dehiscence. There was no rejection or displacement of the implant within the observation period of 15 months.

Conclusion The personalized Bioverit implant is a suitable method for the reconstruction of bony midface defects.

Publication History

Article published online:
24 May 2022