Nasal Prosthesis Rehabilitation after Partial Rhinectomy: A Clinical Report

Seçilmiş, Aslı; Öztürk, Akif Muhtar

doi:10.1055/s-0039-1698324

Cited by 15 publications

(19 citation statements)

References 11 publications

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“…Stent materials commonly reported in the literature are impression compound for interim use and acrylic and silicone materials for definitive use. [10][11][12][13][14] In the present case, due to patient request, two prostheses were fabricated. Polymethyl methacrylate (PMMA) resin and flexible resin were employed.…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Rehabilitation of Postsurgical Nasomaxillary Hypoplasia for a Patient Following Reconstructive Surgery: A Clinical Report

Thirumurthy¹,

Bindhoo²,

Jacob³

et al. 2011

Journal of Prosthodontics

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Repairs of the cleft nose, lip, and palatal deformity remain challenging endeavors for reconstructive surgeons. Postsurgical nasomaxillary hypoplasia is a common finding in patients with extensive clefts. This complex deformity has a pronounced impact on the social behavior and self image of the subject. Esthetic and functional rehabilitation of this postsurgical defect is scarcely reported in the literature. Support in the form of prostheses or stents to prevent tissue collapse is usually required in these patients following surgery. This clinical case presentation discusses the fabrication of an internal nasal stent for a cleft nose, lip, and palate patient following surgical reconstruction. Two prostheses using two prosthetic materials (Polymethyl methacrylate, flexible resin) were prepared to compare their efficacy. The final prostheses improved the patient's appearance, making the postsurgical defect less conspicuous.

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Section: Discussionmentioning

confidence: 99%

Prosthetic Rehabilitation of Postsurgical Nasomaxillary Hypoplasia for a Patient Following Reconstructive Surgery: A Clinical Report

Thirumurthy¹,

Bindhoo²,

Jacob³

et al. 2011

Journal of Prosthodontics

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“…9 The methods most commonly used for retaining nasal prosthesis include involving anatomical undercuts if available, medical adhesives, mechanical support (e.g. eyeglasses), 10 prosthetic connections to endosseous implants 10,11 and attachment to maxillary obturators. 10,12 The medical adhesives used to retain prostheses may irritate soft tissues that contact the prosthesis and may damage the thin margins of the prosthesis when it is removed for maintenance and cleaning.…”

Section: Discussionmentioning

confidence: 99%

“…eyeglasses), 10 prosthetic connections to endosseous implants 10,11 and attachment to maxillary obturators. 10,12 The medical adhesives used to retain prostheses may irritate soft tissues that contact the prosthesis and may damage the thin margins of the prosthesis when it is removed for maintenance and cleaning. An eyeglasses-supported nasal prosthesis system may result in displacement, with an opening at the margins of the prosthesis.…”

Section: Discussionmentioning

confidence: 99%

Designing a Nasal Prosthesis using CAD-RP Technology

Vanitha¹,

Ramkumar²,

Rajtilak³

et al. 2012

International Journal of Prosthodontics and Restorative Dentistry

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A 37-year-old female patient reported to the hospital with a nasal defect due to carcinoma. She was previously restored with nasal prostheses, but was not satisfied with its cosmetic appeal. A computerized tomographic (CT) scan of the defect area was made and converted into 3-dimensional (3D) digital data using dedicated medical imaging software. From the 3D image, measurements of the defect were calculated and compared with various nasal fossa measurements available in the digital database. A 3D nose model which had measurements that closely matched the defect area was extracted and superimposed on the defect area and margins adjusted. The data files were then sent for rapid prototyping (RP). A RP model was fabricated which was duplicated in wax and processed. The final result was a nasal prosthesis that conformed well to the patients' face and was also esthetically acceptable. The main advantage of computer-aided designing (CAD)-RP is that it allows trying various nasal forms on the patients face within few hours. This saves chair time, eliminates the impression step and provides patient and dentist an option of variety.

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“…5,67 While osseointegration has significantly improved nasal implant retention, its success is contingent on the available bone stock. 31,[68][69][70] Traditionally, implants are inserted into the floor of the nasal cavity or glabella. Limitations in the quality or quantity of the recipient bone can compromise the stability or cause dislodgement of an implant with functional movements such as mastication.…”

Section: Nasalmentioning

confidence: 99%

Osseointegrated Implants and Prosthetic Reconstruction Following Skull Base Surgery

Arnaoutakis

Kadakia

et al. 2017

Seminars in Plastic Surgery

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Maxillofacial prosthetics refers to an area of dentistry dedicated to the restoration of skull base and maxillofacial defects acquired from tumor ablative surgery, trauma, or congenital defects. Anatomically, the skull base is complex and conceptually intricate due to its three-dimensional (3D) morphology. Although once considered a defect area prone to significant morbidity and poor quality of life, surgical advancements over the past decade have helped curb these fears. Prostheses have proven to be a valuable adjunct in skull base reconstruction, as these can restore function and cosmesis. The goal of this review article is to highlight current options for prosthetic rehabilitation of skull base defects with an emphasis on the advancements and limitations in the field of prosthetic reconstruction. Preoperative PlanningPatients undergoing treatment for skull base tumors often require interdisciplinary collaboration between several clinical specialties to receive comprehensive management. 1 Presurgical planning involves a concerted dialogue between the surgeons and the various disciplines of speech therapy, medical oncology, and radiation oncology. This patient population requires special needs not only for treatment but also for reconstruction and follow-up care. Prior to ablative surgery, the maxillofacial prosthodontist should be consulted to offer input regarding a patient's capacity for functional rehabilitation. Keywords► skull base defects ► tumor ablative surgery ► osseointegrated implants ► prosthetics AbstractRehabilitation following ablative skull base surgery remains a challenging task, given the complexity of the anatomical region, despite the recent advances in reconstructive surgery. Remnant defects following resection of skull base tumors are often not amenable to primary closure. As such, numerous techniques have been described for reconstruction, including local rotational muscle flaps, pedicled flaps with skin paddle, or even free tissue transfer. However, not all patients are appropriate surgical candidates and therefore may instead benefit from nonsurgical options for functional and aesthetic restoration. Osseointegrated implants and biocompatible prostheses provide a viable alternative for such a patient population. The purpose of this review serves to highlight current options for prosthetic rehabilitation of skull base defects and describe their indications, advantages, and disadvantages.

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Nasal Prosthesis Rehabilitation after Partial Rhinectomy: A Clinical Report

Cited by 15 publications

References 11 publications

Prosthetic Rehabilitation of Postsurgical Nasomaxillary Hypoplasia for a Patient Following Reconstructive Surgery: A Clinical Report

Prosthetic Rehabilitation of Postsurgical Nasomaxillary Hypoplasia for a Patient Following Reconstructive Surgery: A Clinical Report

Designing a Nasal Prosthesis using CAD-RP Technology

Osseointegrated Implants and Prosthetic Reconstruction Following Skull Base Surgery

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