Prosthetic Rehabilitation of Composite Hemi-Facial Defects – A Case Report

Introduction: Rehabilitation of severe hemi-facial defectsposes a challenge to the Prosthodontist. Defects involvingmore than one facial part with asymmetry of contra lateralside require careful planning and technical skills to providethe prostheses.Case Report: This article presents a case of of hemi-facialdefect due to chemical burn injury rehabilitated with custommade silicone prosthesis. It also highlights a technique offlasking used for the fabrication of the prosthesis combiningorbital and nasal defects.Conclusion: The technique used for the rehabilitation ofconventional silicone prostheses can be well utilized whenimplants are not feasible.

Rehabilitación protésica de un paciente con defecto nasal / Prosthetics rehabilitation of a patient with nasal defect

Se describe el caso clínico de un paciente de 84 años de edad, a quien se le realizó exéresis total del órgano nasal desde hacía 5 años aproximadamente en el Hospital Oncológico Conrado Benítez de Santiago de Cuba, a causa de un carcinoma epidermoide del apéndice nasal, por lo cual fue remitido al Centro de Rehabilitación Protésica Bucomaxilofacial de esta provincia para ser rehabilitado. Al examen físico extrabucal se observó ausencia total de la nariz, que simulaba una facies leonina, con bordes cicatrizados y bien definidos. La mayor preocupación del paciente era ocultar su defecto, de manera que se le realizó una prótesis nasal de silicona para mejorar su estética y funcionalidad

The case report of an 84 years patient is described, to whom a total removal of the nasal organ was carried out about 5 years ago-at Conrado Benítez Cancer Hospital in Santiago de Cuba - due to an epidermoid carcinoma of the nasal appendix, reason why he was referred to the Oralmaxillofacial Prosthetics Rehabilitation Center of this province to be rehabilitated. A total absence of the nose was observed in the extraoral physical examination that simulated a leonine facies, with well defined healed borders. The patient's biggest concern was to hide his defect, so a nasal silicone prosthesis was placed to improve his aesthetics and functionality

Clinical applications of buried-guiding-suture method in treatment of complications after nasal augmentation with silicone implant / 中华医学美学美容杂志

Objective To introduce a new method for the treatment of complications after nasal prosthesis.Methods 38 cases with complications after nasal prosthesis were treated by buried-guiding suture method.Results All the 38 patients with nasal prosthesis,such as skewed,floating and sinking mobile,entirely obtained good results.Conclusions The buried guiding suture method in the noninvasive and minimally invasive condition can make the prosthesis relative stability,make expanded extra cavity close adhesion,narrow,finally reaching the tightly wrapped.This method may provide an external force,so that the prosthesis oblique position is corrected,and maintained in a desired position,avoiding operation failure.The effect of this procedure is good,which is a clinical reference method.

Definitive magnetic nasal prosthesis for partial nasal defect.

Maxillofacial trauma refers to any injury to the face or jaw caused by physical force, trauma, the presence of foreign objects, animal or human bites, and burns. Facial defects can be devastating in their impact on physical structure and function of the affected individual, leading to potential compromises in quality of life. Restoration of facial defects, especially nasal defects, is a difficult challenge for both the surgeon and the prosthodontist. Here is a case report of partial nasal defect caused by trauma, rehabilitated with a magnetic nasal prosthesis made with silicone elastomers using mechanical and anatomical retentive aids.

Repairing the outpocketing of nasal tip and thin skin after the augmentation rhinoplasty combined Autogeneic dermis with silicone prosthesis / 重庆医科大学学报

Objective:To explore a new method for repairing the outpocketing of nasal tip and thin skin after the augmentation rhinoplasty Methods:Autogeneic dermis been obtained from the gluteal fold were properly cut and sutured to the tip of "L" model silicone prosthesis. Then the combined material of dermis and prosthesis were been put to the lacouna. Results:The phenomenon of outpocketing and thin skin of nasal tip disapeard and the noddle of nose satiated. The patients were traced 6~12 months, no obvious absorption and sharpping of nasal tip were found.Conclusion:Combind autogeneic dermis and silicone prosthesis can properly repaired the complication of the outpocketing of nasal tip and thin skin after augmentation rhinoplasty and the result can lasted a long time. We concluded that autogeneic dermis is a pragmatic and utility repairing meteria for the augmentation rhinoplasty.