MODERN APPROACHES TO THE ORBITAL WALL RECONSTRUCTION WITH TITANIUM NICKELIDE IMPLANTS IN PATIENTS WITH NASAL CAVITY AND PARANASAL SINUS CANCER-Reference-Cited by-同舟云学术

MODERN APPROACHES TO THE ORBITAL WALL RECONSTRUCTION WITH TITANIUM NICKELIDE IMPLANTS IN PATIENTS WITH NASAL CAVITY AND PARANASAL SINUS CANCER

Published:2021-06-29 Issue:3 Volume:20 Page:39-47
ISSN:2312-3168
Container-title:Siberian journal of oncology
language:
Short-container-title:Sib. onkol. ž.

Author:

Shtin V. I.¹^ORCID,Novikov V. A.¹^ORCID,Choynzonov E. L.¹^ORCID,Shilova O. G.²^ORCID,Nikitchuk A. V.³^ORCID,Frolova I. G.¹^ORCID,Surkova P. V.¹^ORCID,Kulbakin D. E.¹

Affiliation:

1. Cancer Research institute, Tomsk National Research Medical Center, Russian Academy of Sciences

2. Branch of Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation

3. Polyclinic no. 4

Abstract

Background. The majority of tumors of the nasal cavity and paranasal sinus are diagnosed at an advanced stage, requiring invasive and mutilating surgery, and therefore, the reconstruction of post-surgical craniofacial bone defects using various implants is necessary.Purpose of the study: to evaluate the effectiveness of the use of the thin-profile implants made of titanium nickelide in the surgical treatment of nasal cavity and paranasal sinus cancers.Material and Methods. From 2002 to 2020, a total of 60 patients with stage Т3–4n0–1M0 nasal cavity and paranasal sinus cancer were treated at the Cancer Research institute (tomsk). All patients received radiation therapy followed by surgery with reconstruction of bone structures of the subcranial region and orbital walls. In the study group (n=30), the orbital walls were restored with individual thin-profile shape memory titanium nickelide implants. In the control group (n=30), typical porous and tissue titanium nickelide implants were used. They required adjustment during surgery and complicated reparative processes in the postoperative period due to their thickness. Tissue implants did not allow accurate restoration of the orbital walls due to their structure.Results. Surgical rehabilitation with orbital wall reconstruction using thin-profile titanium nickelide implants makes it possible to shorten the duration of surgery and improve the precision of surgical repair. Features of the architectonics of implants do not interfere with the growth of tissues of the recipient zone, thus preventing the development of inflammation in the implantation site. The technique allows adequate restoration of the natural position and function of the eye.

Publisher

Tomsk Cancer Research Institute

Subject

Cancer Research,Oncology

Reference28 articles.

1. Minkin A.U. Comprehensive diagnosis and treatment of precancerous diseases and malignant tumors of the upper jaw, nasal cavity and paranasal sinuses. Arkhangelsk, 2011. 255 p. (in Russian).

2. Novikov V.A., Shtin V.I., Frolova I.G., Trukhacheva N.G., Shilova O.G., Nikitchuk A.V., Kucherova T.Ya., Molchanov N.A. Novel approaches to treatment and rehabilitation of patients with cancer of nasal accessory sinuses using Titanium Nickelid and computer-bases tecnologies. Siberian Journal of Oncology. 2007; 2: 63–68. (in Russian).

3. Medvedev Yu.A., Shamanaeva L.S., Petruk P.S., Yang Sin, Solovieva A.A. Nickelid titanium mesh for Medvedev Y.A., Shamanayeva L.S., Shamanayev S.V., Polyakov K.A.1, Petruk P.S. Endoprosthesis of lower orbital wall. Endoprosthesis of lower orbital wall. Head and Neck. 2017; 1: 18–22. (in Russian).

4. Bhattacharyya N. Survival and staging characteristics for nonsquamous cell malignancies of the maxillary sinus. Arch Otolaryngol Head Neck Surg. 2003 Mar; 129(3): 334–7. doi: 10.1001/archotol.129.3.334.

5. Hausamen J.E. The scientific development of maxillofacial surgery in the 20-th century and an outlook into the future. J. Craniomaxillofacial. Surg. 2001; 29(1): 2–21.