Osteochondroma (OC) of the mandibular condyle is a relatively rare condition that causes a progressive enlargement of the condyle, usually resulting in facial asymmetry, temporomandibular joint (TMJ) dysfunction, and malocclusion. Radiographically, there is a unilaterally enlarged condyle usually with an exophytic outgrowth of the tumor from the condylar head. We present a case of a left mandibular condylar OC that created a major facial asymmetry, malocclusion, and TMJ dysfunction. Discussion includes the rationale for treatment and the method used in this case. In actively growing OCs, surgical intervention is indicated to remove the tumor stopping the benign growth process and improve facial symmetry, occlusion, and jaw function.
Problem
Prosthetic eyes often cause dryness, irritation, and inflammation of the anophthalmic sockets.
Purpose
To reduce the discomfort caused due to dryness of ocular prosthesis by a custom-made hollow ocular acrylic prosthesis, which is filled with lubricant drops slowly and systemically released into the ophthalmic cavity upon blinking.
Materials and methods
Thirty-eight patients wearing unilateral artificial eye for a period of more than 6 months were evaluated. An innovative customized hollow prosthesis is described, which was incorporated with a hollow reservoir containing a combination of a tear substitute along with cyclosporine A (0.05%) acting as the lubricant. The patients were then evaluated with the help of a questionnaire, regarding the comfort, dryness, soreness, and the ease of use of prosthesis. A self-formulated grading system was used to record the scores.
Results
Postinsertion of this hollow prosthesis, there was a marked reduction in the dryness, irritation, discomfort, and signs of inflammation.
Conclusion
It was concluded that the continuous flow of the lubricant onto the dry prosthetic eye helps in reducing dryness, irritation, soreness, and inflammation.
Clinical implications
A hollow ocular prosthesis that can continuously discharge lubricant onto the dry prosthesis can help in increasing patient's acceptance and comfort.
How to cite this article
Gupta R, Aggarwal R, Bharat A, Nijhawan S. Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research. Int J Prosthodont Restor Dent 2016;6(3):57-62.
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