Contribution to oral and maxillary surgery and surgical technique of osteo-odontokeratoprosthesis in Japan |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, Kindai University, Faculty of Medicine, Japan;2. Department of Ophthalmology, Kindai University, Faculty of Medicine, Japan;3. Department of Ophthalmology, Fuchu Hospital, Japan;1. Leeds University, Bradford Royal Infirmary;2. Bradford Royal Infirmary;3. Yorkshire and the Humber;1. Bristol Dental Hospital, Children’s Hospital & Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Lower Maudlin Street, Bristol, BS1 2LY;2. New Cross Hospital, Wolverhampton Road, Heath Town, Wolverhampton, WV10 0QP;1. Professor, and HOD, Department of Dentistry, Believers Church Medical College Hospital, Thiruvalla;2. Associate Professor, Dept. of Oral and Maxillofacial Surgery, Government dental college and Hospital, Kottayam, Kerala, India;3. Resident, Dept. of oral and maxillofacial surgery, Govt Dental College and Hospital, Kottayam, Kerala, India;4. Associate Professor, Dept. of Oral and Maxillofacial Surgery, PMS College of Dental Sciences and Research, Trivandrum, Kerala, India;1. Department of Oral and Maxillofacial Surgery, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX, UK;2. Department of Clinical Oncology, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX, UK |
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| Abstract: | Osteo-odontokeratoprosthesis (OOKP) is a technique invented by Strampelli in 1963, in which the patient's own tooth root is used to support an optical cylinder. It uses an autologous tooth-bone-periodontal complex to mount an optical cylinder, which is stabilised by overlying autologous buccal mucosa. OOKP involves two, staged procedures done by ophthalmologists and oral surgeons, and the main contribution from the oral surgeon is during the first stage. To date we have done nine first-stage, and completed eight second-stage, OOKP operations in Japan with a mean follow-up of eight years and 11 months by modifying the original method of the oral surgery. All OOKP procedures were unilateral, and canines were selected as the donor teeth. Patients developed ocular blindness as a result of Stevens-Johnson syndrome, ocular cicatricial pemphigoid, and chemical and thermal burns to the cornea and ocular surface. All eight patients who completed the second stage have been stable, and there have been no major perioperative or postoperative oral complications. The patients' visual acuities were stable with no serious complications. Here we report the technical details of the oral contribution to OOKP. |
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| Keywords: | OOKP role of the oral surgeon interdisciplinary management by ophthalmologists and oral surgeons |
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