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Reconstruction of a Total Rhinectomy Defect by Implant-Retained Nasal Prosthesis: A Clinical Report Publisher



Javanmard A1 ; Mohammadi F2 ; Mojtahedi H3
Authors

Source: Oral and Maxillofacial Surgery Cases Published:2020


Abstract

Since the Nasal unit is the prominent part of the face and subjected to ultraviolet radiation, it's a frequent site of skin tumors such as squamous cell carcinoma and basal cell carcinoma. Tumor ablation surgeries can leave a patient with a severe deformity, which results in psychosocial and functional impairment. Nose consists of three layered, anatomically complex sculpture and Replacement of total rhinectomy lesion may not be satisfactorily accomplished by means of autogenous and microvascular grafts. Nowadays nasal prosthesis rehabilitation proved to be a predictable option for reconstruction of craniofacial defects. This case report describes a safe and economical method for the rehabilitation of a patient with absent nasal unit using an implant supported silicone prosthesis. Two implants were placed in the nasal floor of the maxillary bone. Reconstruction of the nose was done with nasal silicone prosthesis, retained using bar and clip attachments to increase the stability and retention of the prosthesis. © 2020
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