scholarly journals Prosthetic management of mid-facial defect with magnet-retained silicone prosthesis

2013 ◽  
Vol 38 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Muaiyed M Buzayan
Keyword(s):  
Case Report ◽  
Life Style ◽  
Surgical Excision ◽  
Self Esteem ◽  
Clinical Report ◽  
Silicone Prosthesis ◽  
Facial Prosthesis ◽  
Facial Defect ◽  
Obturator Prosthesis ◽  
Silicone Prostheses

Background and aim:Mid-facial defect is one of the most disfiguring and impairing defects. A design of prosthesis that is aesthetic and stable can be precious to a patient who has lost part of his face due to surgical excision. Prosthesis can restore the patients’ self-esteem and confidence, which affects the patients and their life style. The aim of this case report is to describe a technique of mid-facial silicone prosthesis fabrication.Technique:To provide an aesthetic and stable facial prosthesis, the extra-oral prosthesis was fabricated using silicone material, while the intra-oral defect was restored with obturator prosthesis, and then both prostheses were connected and attached to each other using magnets.Discussion:This clinical report describes the rehabilitation of a large mid-facial defect with a two-piece prosthesis. The silicone facial prosthesis was made hollow and lighter by using an acrylic framework. Two acrylic channels were included within the facial prosthesis to provide the patient with clean and patent airways.Clinical relevanceA sectional mid-facial prosthesis was made and retained in place by using magnets, which resulted in a significant improvement in the aesthetical and functional outcome without the need for plastic surgery. Silicone prostheses are reliable alternatives to surgery and should be considered in selected cases.

scholarly journals Prosthetic therapy of the lateral facial defect

2012 ◽  
Vol 59 (3) ◽  
pp. 164-168
Author(s):  
Vojkan Lazic ◽  
Igor Djordjevic
Keyword(s):  
Case Report ◽  
Aesthetic Outcome ◽  
Neck Trauma ◽  
Prosthetic Reconstruction ◽  
Maxillary Defect ◽  
Facial Defect ◽  
Facial Defects ◽  
The Stability ◽  
Mandibular Movements ◽  
Obturator Prosthesis

Introduction. Facial defects may arise as a result of head and neck trauma or facial tumor ablation. Minor defects can be reconstructed surgically while large defects usually need combined surgical and prosthetic reconstruction. The aim of this study was to present the prosthetic reconstruction of the lateral facial defect using facial colored acrylic prosthesis. Case Report. A male patient with a maxillary defect on the left side and a large lateral facial defect on the same side received an obturator prosthesis as well as a facial colored acrylic prosthesis (facial-orbit) retained by the glasses frame. Satisfied aesthetics was accomplished. However, the stability of the prostheses during mandibular movements could not be achieved which resulted in saliva leakage over the lips. Conclusion. Better functional and aesthetic outcome could be achieved by combined surgical and prosthetic treatment of such large facial defect.

Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report

2008 ◽  
Vol 9 (1) ◽  
pp. 70-76 ◽  
Author(s):  
T. Sunil Chandra ◽  
Amar Sholapurkar ◽  
Robin Mathai Joseph ◽  
I.N. Aparna ◽  
Keerthilatha M. Pai
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Mouth Opening ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Facial Contour ◽  
Masticatory Efficiency ◽  
Full Complement ◽  
Obturator Prosthesis

Abstract Aim The purpose of this clinical report is to present a description of the prosthetic rehabilitation of a bilateral complete maxillectomy patient using a two piece magnetically connected prosthesis. Background A complete bilateral maxillectomy defect presents a considerable reconstructive challenge for the prosthodontist. It results in devastating effects on cosmetic, functional, and psychological aspects of the patient. Report A 46-year-old woman reported with a chief complaint of missing teeth in the upper jaw. Her primary concerns were a poor facial appearance, inability to chew food, and regurgitation of the food into the nasal cavity. She was diagnosed with carcinoma of the maxillary sinus, for which a bilateral maxillectomy was done followed by post surgical radiation therapy. The prosthetic treatment objectives were to separate the nasal and oral cavities, restore the mid-facial contour, and improve her masticatory functions by providing a full complement of maxillary teeth using a two-piece connected hollow obturator prosthesis connected by a magnet. Summary Insertion and removal of a large prostheses used for rehabilitation of midfacial defects requires good neuromotor coordination and an adequate mouth opening. Because these factors were problematic for this patient, the treatment plan was to fabricate a two piece magnetically connected prosthesis. After fabrication and insertion of the prosthesis, the fit between two sections was evaluated and instructions for insertion, removal, and maintenance of the obturator were given. The patient's speech, masticatory efficiency, and swallowing dramatically improved after insertion. Citation Chandra TS, Sholapurkar A, Joseph RM, Aparna IN, Pai KM. Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report. J Contemp Dent Pract 2008 January; (9)1:070-076.

scholarly journals Reabilitação facial por meio de prótese oculopalpebral

2020 ◽  
Vol 9 (6) ◽  
pp. 563-569
Author(s):  
Bárbara Sousa da Silva ◽  
Thaysa Cristina Batista de Mattos ◽  
Erika Akiko Moura Shiota ◽  
Sybilla Torres Dias ◽  
Cristiane Maria Brasil Leal ◽  
...  
Keyword(s):  
Case Report ◽  
In Vitro Study ◽  
Color Stability ◽  
Acrylic Resin ◽  
Technical Note ◽  
Clinical Report ◽  
Facial Prosthesis ◽  
Facial Prostheses

A prótese bucomaxilofacial visa a reabilitação de pacientes que sofreram mutilações na face, restituindo estética e autoestima. Este trabalho visa relatar o caso clínico de um paciente reabilitado com prótese oculopalpebral após sofrer exenteração de órbita, decorrente de um carcinoma espinocelular em pálpebra inferior direita. Paciente, gênero masculino, 56 anos, procurou atendimento odontológico queixando-se de desconforto estético do rosto. Ao exame clínico foi observada ausência do globo ocular, pálpebras e arco superciliar do lado direito, por isto, foi planejada a confecção de uma prótese oculopalpebral. Foi realizada moldagem dos terços superior e médio da face, obteve-se o molde em alginato e, posteriormente, o modelo em gesso. Em seguida, foi confeccionado um globo ocular caracterizado em resina acrílica termopolimerizável. Posteriormente realizou-se, sobre o modelo de gesso, a escultura da área amputada utilizando-se plastilina e cera e após prova e ajustes no paciente, inclusão do conjunto modelo/escultura em mufla e contramufla, com posterior eliminação da peça esculpida. Foi selecionada a cor da pele do paciente e misturou-se uma base ao silicone, que foi incluído na mufla para prensagem. Após a vulcanização do silicone, foram realizados os acabamentos, caracterização e instalação da prótese. Na proservação o paciente relatou grande satisfação com a reconstituição da estética facial. Conclui-se que a prótese bucomaxilofacial é uma alternativa satisfatória para a reabilitação de pacientes que sofreram mutilações faciais, pois restabelece a estética facial, autoestima e convívio social.    Descritores: Prótese Maxilofacial; Olho Artificial; Reabilitação; Carcinoma de Células Escamosas. Referências Duncan BGF, Calhoun ME. Facial prostheses in the rehabilitation of burn patients. Nurse Life Care Planner. 2015;15(3):900-5. Vieira LM, Oguro P, Dias RB, Pimentel ML, Barretto MRP, Coto NP. Proposition of integrated electrical mechanism anda facial prosthesis for eyelid motion on prosthetic oculopalpebral rehabilitation: technical note. J. 2019; 35(2):659-65. Moss OB, Pinheiro BCL, Mendes TCC, Braga FP, Nichthauser B, Leal CMB. Reabilitação oral com prótese bucomaxilofacial em paciente pediátrica submetida à excisão de lesão neoplásica benigna em maxila. Arch Health Invest. 2019;8(11):706-10. Petsuksiri J, Frank SJ, Garden AS, Ang KK, Morrison WH, Chao KS, Rosenthal DI, Schwartz DL, Ahamad A, Esmaeli B. Outcomes after radiotherapy for squamous cell carcinoma of the eyelid. 2008;112(1):111-18. Dib LL, Oliveira JAP. Reabilitação Bucomaxilofacial - uso de próteses e implantes osseointegrados. In: Cardoso RJA, Gonçalves EAN. Odontologia: arte, ciência e técnica. 6 ed. São Paulo: Artes Médicas; 2002. Pinheiro BCL, De Mattos TCB, Dias ST, Braga FP, Leal CMB, Nichthauser B. Reabilitação com prótese ocular em paciente anoftálmico. Full Dent. Sci. 2020;11(42):98-103. Wondergem M, Lieben G, Bouman S, van den Brekel MW, Lohuis PJ. Patients' satisfaction with facial prostheses. Br J Oral Maxillofac Surg. 2016;54(4):394-9. Lanzara R, Thakur A, Viswambaran M, Khattak A. Fabrication of ocular prosthesis with a digital customization technique - a case report. J Family Med Prim Care. 2019;8(3):1239-42. Brandão TB, Filho AJV, Batista VES, Ribeiro ACP, Nary Filho H, Chilvarquer I, et al. Assessment of treatment outcomes for facial prostheses in patients with craniofacial defects: A pilot retrospective study. J Prosthet Dent. 2017;118(2):235-41. Koyama S, Sasaki K, Hanawa S, Sato N. The potential of cohesive silicone for facial prosthetic use: a material property study and a clinical report. J Prosthodont. 2011;20(4):299-304. Soares LHS, Bello CV, Reis AKL, Nunes RR, Mason EM. Tumores malignos de pálpebra. Arq Bras Oftalmol. 2001;64(1):287-9. Grant GT, Aita-Holmes C, Liacouras P, Garnes J, Wilson WO Jr. Digital capture, design, and manufacturing of a facial prosthesis: Clinical report on a pediatric patient. J Prosthet Dent. 2015;114(1):138-41. Sohaib A, Amano K, Xiao K, Yates JM, Whitford C, Werger S. Colour quality of facial prostheses in additive manufacturing. Int J Adv Manuf Technol. 2018; 96(2):881-94. Veerareddy C, Nair KC, Reddy R. Simplified Technique for Orbital Prosthesis fabrication: a case report. J Prosthodont. 2012;21(1):561-68. Bellamy K, Limbert G, Waters MG, Middleton J. An elastomeric material for facial prostheses: synthesis, experimental and numerical testing aspects. 2003;24(27):5061-66. Papaspyrou G, Yildiz C, Bozzato V, Bohr C, Schneider M, Hecker D, Schick B, Al Kadah B. Prosthetic supply of facial defects: long-term experience and retrospective analysis on 99 patients. Eur Arch Otorhinolaryngol. 2018;275(2):607-13. Chang TL, Garrett N, Roumanas E, Beumer J 3rd. Treatment satisfaction with facial prostheses. J Prosthet Dent. 2005;94(3):275-80.  Nomura T, Sato J, Matsuura M, Kawaguchi K, Sekiguchi R, Horie A, Seto K. Lightweight acrylic resin facial prosthesis for maxillofacial defects: a fabrication and retention method. J Prosthet Dent. 2013;110(4):326-30. Dings JPJ, Merkx MAW, de Clonie Maclennan-Naphausen MTP, van de Pol P, Maal TJJ, Meijer GJ. Maxillofacial prosthetic rehabilitation: A survey on the quality of life. J Prosthet Dent. 2018;120(5):780-86. Ariani N, Visser A, Teulings MR, Dijk M, Rahardjo TB, Vissink A, van der Mei HC. Efficacy of cleansing agents in killing microorganisms in mixed species biofilms present on silicone facial prostheses--an in vitro study. Clin Oral Investig. 2015;19(9):2285-93. Goiato MC, Pesqueira AA, dos Santos DM, Zavanelli AC, Ribeiro Pdo P. Color stability comparison of silicone facial prostheses following disinfection. J Prosthodont. 2009;18(3):242-44.  Jebreil K. Accetability of orbital prostheses. J Prosthet Dent. 1980;43(1):82-5.

Importance of Avasthiki Chikitsa in Pakshaghata and its complications: A Clinical Case Report

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Vishwanath S. Wasedar ◽  
Shilpa S. Biradar
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Life Style ◽  
Occipital Lobe ◽  
Blood Parameters ◽  
Effective Control ◽  
Research Centre ◽  
Successful Case ◽  
Diet And Exercise ◽  
Loss Of Strength

Purpose: Life style disorders demand a strict regimen throughout one’s life among which Hypertension and Diabetes Mellitus are common. Hence the treatment aims an effective control along with Life style modification. The negligence towards the prescribed life style regimen would lead to many complications among which stroke are most prominent and the prevalence in India is 29%. Though the patient is under strict Anti hypertensive medications still one day he/she will land up in stroke hampering his rest of precious life. Aim: With this understanding a successful case report is presented to highlight the importance of Avasthiki Chikitsa with life style modification in controlling Hypertension and treating Pakshaghata from the root level. Materials and Methods: A 74 years old female patient, known case of HTN and DM was brought on a stretcher to the Panchakarma OPD of KLEU Ayurveda Hospital and Research Centre with the complain of loss of strength in left upper and lower limb associated with inability to speak since 9 days. Her MRI suggested Left Hemiplegia with B/L cerebellar hemorrhagic infract in occipital lobe. Initially treatment commenced with Shiromarmaghata Chikitsa with Shamanoushadhi along with modern medication which the patient had been advised. Later on when the patient started to improve in her blood parameters allied science medications were tapered and gradually stopped excluding her routine medication. After the clearance of Avarana, Panchakarma therapies were administered sequentially at various stage with a meticulous diet and exercise. Results: After 22 days of treatment Diabetes and Hypertension were under control, patient was able to walk with minimal support and speech also improved. Conclusion: A well planned diet along with Ayurvedic therapies based on the Awastha provides encouraging results in treating HTN, DM and Pakshaghata.

Ayurvedic Management of Sthaulya (Obesity): A Case Report

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Nirmal P. Alodaria ◽  
S. N. Gupta ◽  
Dhaval Dholakiya ◽  
Kaushik B. Vyas
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Life Style ◽  
Health Issue ◽  
Exertional Dyspnoea ◽  
Alternative Approach ◽  
Ayurvedic Treatment ◽  
Excessive Perspiration

Obesity is burning health issue for society nowadays. In Sutrasthana of Charaka Samhita, in different Adhyaya (eg. Astauninditiya, Langhanabrumhaniya, Santarpaniya) causes, symptoms and treatment of Sthaulya are described. As an alternative approach, Ayurvedic treatment may serve as promising modality. A 17 years old male patient came in P.D. Patel Ayurveda Hospital on 22th May 2017. Patients weight was 114.8 kg and BMI was 37.51 which fairly included in obesity category according to NHI guidelines. He also had some associated complaints like exertional dyspnoea, increased appetite, excessive perspiration. He was treated with Snehana (Aabhyantara and Bahya), Swedana, Vamana, Virechana, Niruha Basti, Udvartana along with oral medicines like Varunaadi Kwatha, Arogyavardhini Vati, Triphala Guggulu, and Navayasa Lauha along with prescribed dietary regimes and life style modification. He lost about 9.7 kg of weight, which was 105.1 kgs and BMI was 34.34 only in 26 days without any complications.

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

scholarly journals Application of Double-Threaded Locking Adaptation Plates used to Repair a Radius and Ulna Fracture in a Domestic Rabbit (Oryctolagus Cuniculus)

VCOT Open ◽  
2020 ◽  
Vol 03 (02) ◽  
pp. e182-e186
Author(s):  
Anthony Malak ◽  
Andrew S. Levien
Keyword(s):  
Case Report ◽  
Clinical Significance ◽  
Oryctolagus Cuniculus ◽  
Clinical Report ◽  
Locking Plates ◽  
Case Description ◽  
Domestic Rabbit ◽  
Implant Complications ◽  
Osseous Union ◽  
Ulna Fractures

Abstract Objective This study is a case description of the clinical application of locking plates to repair fractures in the radius and ulna of a 9-month-old, male domestic rabbit. Study Design This study is a case report. Results Double-threaded locking adaptation plates of 1.5 mm were fixated to the radius and ulna of the rabbit using the principles of orthogonal plating. Radiographs of the left radius and ulna were obtained at 8 weeks postoperatively depicting complete osseous union of the fracture and no implant complications were observed. Clinical Significance The authors describe the first clinical report of 1.5 mm locking adaptation plates having been used in repairing radius and ulna fractures in a domestic rabbit.

scholarly journals Nasal Epithelial Myoepithelial Carcinoma: An Unusual Cause of Epiphora, a Case Report and Review of the Literature

2015 ◽  
Vol 6 (2) ◽  
pp. ar.2015.6.0127 ◽  
Author(s):  
Juliette O. Flam ◽  
Christopher D. Brook ◽  
Rachel Sobel ◽  
John C. Lee ◽  
Michael P. Platt
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Surgical Excision ◽  
Myoepithelial Carcinoma ◽  
Review Of The Literature ◽  
Nasal Symptoms ◽  
First Case ◽  
Nasal Tumor ◽  
Epithelial Myoepithelial Carcinoma

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

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