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Ruse MK, Calhoun M, Davis BK. Prosthetic Nasal Reconstruction. Facial Plast Surg Clin North Am 2024; 32:327-337. [PMID: 38575290 DOI: 10.1016/j.fsc.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/06/2024]
Abstract
Prosthetic nasal reconstruction provides a restorative option for patients with nasal defects, and these can be retained with a variety of methods including adhesives and implants. These prostheses can significantly improve appearance, self-esteem, and quality of life for patients and they restore many functions of the external nose. Traditional fabrication methods are often used by the skilled professionals who make these custom prostheses, but digital technology is improving the workflow for design and fabrication of silicone nasal prostheses. Nasal prosthetic reconstruction requires multidisciplinary coordination between surgeons, maxillofacial prosthodontists, anaplastologists, and other members of the healthcare team. Prosthetic treatment can be considered as an alternative to, or an addition to treatment with surgical reconstruction.
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Affiliation(s)
- Michelle K Ruse
- HCA Healthcare and Sarah Cannon Cancer Institute, 9228 Medical Plaza Drive, Charleston, SC 29406, USA
| | - Michaela Calhoun
- Medical Art Resources, Inc and Prosthetics at Graphica Medica, 1880 Livingston Avenue, West Saint Paul, MN 55118, USA
| | - Betsy K Davis
- HCA Healthcare and Sarah Cannon Cancer Institute, 9228 Medical Plaza Drive, Charleston, SC 29406, USA.
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2
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Spooner K, Marshall G, Pilley M, Avery C. An alternative technique for fabricating an interim nasal profile dressing using computer-aided design, spectrophotometry, and a color formulation software program. J Prosthet Dent 2023:S0022-3913(23)00374-8. [PMID: 37442749 DOI: 10.1016/j.prosdent.2023.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 05/23/2023] [Accepted: 05/24/2023] [Indexed: 07/15/2023]
Abstract
A total rhinectomy may be part of the treatment of nasal malignancy and can cause severe facial disfigurement and unwanted psychological repercussions. A technique is described for fabricating a skin-colored interim nasal profile dressing for immediate fitting after surgery without the need for either preoperative or postoperative impressions. The technique avoids patient discomfort, and the initial emotional trauma of facial disfigurement may be avoided. The fabrication process includes the use of a preoperative computerized tomography scan, a computer-aided design software program, 3-dimensional printing, and spectrophotometry.
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Affiliation(s)
- Katie Spooner
- Researcher and Maxillofacial Prosthetist, Maxillofacial Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England, United Kingdom.
| | - Graham Marshall
- Researcher and Maxillofacial Prosthetist, Maxillofacial Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England, United Kingdom
| | - Matthew Pilley
- Specialist in Clinical Prosthetics and Maxillofacial Laboratory Manager, Maxillofacial Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England, United Kingdom
| | - Christopher Avery
- Researcher and Oral Maxillofacial Surgeon, Maxillofacial Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England, United Kingdom
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Balshi TJ, Wolfinger GJ, Pellecchia R, Reiger W, Blakely JW, Balshi SF, Kachlan MO. 9-year follow up on maxillofacial implant-supported framework designed to accommodate childhood growth. J Prosthodont 2022; 31:551-561. [PMID: 35544676 DOI: 10.1111/jopr.13528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 04/24/2022] [Indexed: 10/18/2022] Open
Abstract
This clinical report focuses on the challenges and solutions for a child subjected to craniofacial trauma from a wild hyena biting off his nose and anterior maxilla. Unique considerations in prosthodontics and biomedical engineering were required based on future craniofacial growth and development of the child. The physical requirement of a maximum retentive prosthesis for an active, athletic child required unique engineering designs and executions. The sequence of treatment and prosthesis fabrication are detailed. The patient has been followed for nine years without physiologic complications and only minor prosthodontic complications. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Thomas J Balshi
- Founder and Prosthodontist, Pi Dental Center (Prosthodontics Intermedica, LLC), Institute for Facial Esthetics, currently Private mentoring implant surgery, Fort Washington, Pennsylvania, USA
| | - Glenn J Wolfinger
- Prosthodontist and President, Pi Dental Center, Institute for Facial Esthetics, Fort Washington, Pennsylvania, USA
| | - Robert Pellecchia
- Chairman and Program Director, Lincoln Hospital, Bronx, New York, USA
| | - William Reiger
- Maxillofacial Prosthodontist, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA
| | - James W Blakely
- Maxillofacial Anaplastologist, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA
| | - Stephen F Balshi
- Director of Research and Biomedical Engineering, Pi Dental Center, Institute for Facial Esthetics, Fort Washington, Pennsylvania, USA.,President, CM Prosthetic, Inc., Fort Washington, Pennsylvania, USA
| | - Mamdouh O Kachlan
- Prosthodontic Resident, University of Maryland School of Dentistry, Baltimore, Maryland, USA.,Research Associate, Pi Dental Center, Institute for Facial Esthetics, Fort Washington, Pennsylvania, USA
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4
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Chen PH, Seidenfaden JC, Sooudi I, Kase MT. Using digital technology to create a custom esthetic bandage for patients after rhinectomy. J Prosthet Dent 2020; 125:357-360. [PMID: 32265124 DOI: 10.1016/j.prosdent.2020.01.037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 01/22/2020] [Accepted: 01/22/2020] [Indexed: 11/19/2022]
Abstract
Patients undergoing partial or total rhinectomy surgeries are left with a lifelong facial defect that poses psychosocial and functional challenges. The extended postoperative healing period after rhinectomy can delay the timely restoration of a patient's nose by definitive prosthesis when conventional impression methods are used. The treatment workflow for fabricating a custom esthetic nasal bandage with the use of digital technology is introduced to avoid the conventional preoperative impression, as well as to allow for immediate delivery at the postoperative follow-up visit.
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Affiliation(s)
- Po-Hsu Chen
- Fellow, Advanced Education in Maxillofacial Prosthetics, Department of Restorative Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Ala.
| | - Julius C Seidenfaden
- Dental Prosthetist, Department of Restorative Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Ala
| | - Iradj Sooudi
- Adjunct Associate Professor, Department of Restorative Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Ala
| | - Michael T Kase
- Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham School of Dentistry, Birmingham, Ala
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Rosen EB, Ahmed ZU, Huryn JM, Ganly I. Prosthetic rehabilitation of the geriatric oncologic rhinectomy patient utilizing a craniofacial implant-retained nasal prosthesis. Clin Case Rep 2020; 8:278-282. [PMID: 32128173 PMCID: PMC7044361 DOI: 10.1002/ccr3.2629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 10/24/2019] [Accepted: 11/08/2019] [Indexed: 11/10/2022] Open
Abstract
This clinical report describes the expeditious treatment of a geriatric patient with squamous cell carcinoma of the nose treated with total rhinectomy, craniofacial implant placement, and a nasal prosthesis.
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Affiliation(s)
- Evan B. Rosen
- Dental ServiceDepartment of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkNYUSA
- Miami Cancer InstituteMiamiFLUSA
| | - Zain Uddin Ahmed
- Dental ServiceDepartment of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkNYUSA
| | - Joseph M. Huryn
- Dental ServiceDepartment of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkNYUSA
| | - Ian Ganly
- Head and Neck ServiceDepartment of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkNYUSA
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de Carvalho BMDF, Freitas-Pontes KM, de Negreiros WA, Verde MARL. Single-stage osseointegrated implants for nasal prosthodontic rehabilitation: A clinical report. J Prosthet Dent 2015; 114:293-6. [PMID: 25976710 DOI: 10.1016/j.prosdent.2015.02.027] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 02/26/2015] [Accepted: 02/27/2015] [Indexed: 11/27/2022]
Abstract
Malignant tumors in the nasal region may be treated by means of invasive surgical procedures, with large facial losses. Nasal prostheses, retained by osseointegrated facial implants, instead of plastic surgery, will, in most patients, offer good biomechanical and cosmetic results. This clinical report describes the prosthetic rehabilitation of a patient with nasal cancer who had the entire nasal vestibule removed in a single-stage surgical procedure in order to shorten the rehabilitation time. The nasal prosthesis was built on a 3-magnet bar and was made of platinum silicone with intrinsic pigmentation, thereby restoring the patient's appearance and self-esteem. The authors concluded that single-stage implants may reduce the rehabilitation time to as little as 1 month, and the correct use of materials and techniques may significantly improve the nasal prosthesis.
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Affiliation(s)
- Bruna M D F de Carvalho
- Postgraduate student, Federal University of Ceará, Federal University of Ceará, School of Pharmacy, Dentistry and Nursing, Fortaleza, Brazil.
| | - Karina M Freitas-Pontes
- Associate Professor, Department of Restorative Dentistry, Federal University of Ceará, School of Pharmacy, Dentistry and Nursing, Fortaleza, Brazil
| | - Wagner A de Negreiros
- Associate Professor, Department of Restorative Dentistry, Federal University of Ceará, School of Pharmacy, Dentistry and Nursing, Fortaleza, Brazil
| | - Marcus A R L Verde
- Associate Professor, Department of Restorative Dentistry, Federal University of Ceará, School of Pharmacy, Dentistry and Nursing, Fortaleza, Brazil
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