Oral and maxillofacial surgeons' role in the first successful modified osteo-odonto-keratoprosthesis performed in the United States

Yoh Sawatari, Victor L Perez Quinones, Jean-Marie A Parel, Eduardo C Alfonso, Giancarlo Falcinelli, Johnny Falcinelli, Robert Marx

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Corneal disease constitutes the second most common cause of blindness 1 and often leads to corneal damage or scarring. Several corneal scarring is a complex and difficult condition for ophthalmologists to manage. In the most severe cases, the scarring is accompanied by excessive dryness and keratinization of the ocular surface. Certain etiologies, including Stevens-Johnson syndrome, cicatricial pemphigoid, Lyell's syndrome, and chemical trauma to the surface of the eye, are responsible for the most severe cases.2 Traditional allogeneic corneal transplantation is not effective because of the significant scarring and dryness of the eye. To allow light and images to be focused on the retina, a keratoprosthesis is required to position a lens on the surface of the eye. One of the oldest and most effective types of keratoprosthesis, the osteo-odonto-keratoprosthesis (OOKP), was first described and documented in 1963 by Strampelli3,4 and subsequently modified by Falcinelli et al.2 The modified OOKP (MOOKP) is a unique prosthesis consisting of a lens fabricated from a polymethylmethacrylate (PMMA) cylinder and cemented to an autogenous graft composed of tooth and bone, traditionally termed the osteo-odonto lamina. In this context, lamina refers to a thin rectangular plate of tooth and bone (Fig 1). The MOOKP involves 4 procedures performed in 3 surgical stages.

Original languageEnglish
Pages (from-to)1750-1756
Number of pages7
JournalJournal of Oral and Maxillofacial Surgery
Volume69
Issue number6
DOIs
StatePublished - Jun 1 2011

Fingerprint

Cicatrix
Stevens-Johnson Syndrome
Lenses
Tooth
Benign Mucous Membrane Pemphigoid
Corneal Diseases
Bone Plates
Corneal Transplantation
Homologous Transplantation
Polymethyl Methacrylate
Blindness
Prostheses and Implants
Retina
Transplants
Light
Bone and Bones
Oral and Maxillofacial Surgeons
Wounds and Injuries

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

Cite this

Oral and maxillofacial surgeons' role in the first successful modified osteo-odonto-keratoprosthesis performed in the United States. / Sawatari, Yoh; Perez Quinones, Victor L; Parel, Jean-Marie A; Alfonso, Eduardo C; Falcinelli, Giancarlo; Falcinelli, Johnny; Marx, Robert.

In: Journal of Oral and Maxillofacial Surgery, Vol. 69, No. 6, 01.06.2011, p. 1750-1756.

Research output: Contribution to journalArticle

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