Craniofacial and skull base reconstruction after significant bone loss is difficult and often results in considerable deformity. Recent advances in fine-cut CT-driven rapid prototyping allow for complex reconstructions utilizing a variety of reconstruction materials. We describe an in-house technique used at the University of Florida to manufacture complex 3D models and prostheses for custom skull base reconstruction.

Orbital exenteration after craniofacial tumor resection is a common reconstructive dilemma that often results in immediate and long-term high patient dissatisfaction. Traditional reconstructive options have centered on adhesive-retained prostheses. Craniofacial implant technology offers the patient improved reconstructive options. We describe a technique used in a series of patients in whom craniofacial implant-retained prostheses were utilized following orbital exenteration. A computer-assisted navigational system was used to place two to three endosseous craniofacial implants in the remaining orbital rim. Following osseointegration, a patient-specific magnet-retained orbital prosthesis was custom fabricated. All patients reported excellent prosthesis handling and stability. This represents a significant improvement in patient satisfaction and psychosocial well-being after complex craniofacial surgery.