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Abstract：
Removal of an eye may be indicated in cases of congenital abnormality, severe trauma, or disease such as an infection, tumor, or malignancy. The disfigurement associated with a loss of an eye is often accompanied with physical problems, psychological trauma, and a poor quality of life. A prosthetic replacement is the treatment of choice to return the individual to his normal vocation by producing an acceptable and life-like appearance. This article describes prosthetic rehabilitation of a 19-year-old male suffering from facial hemiatrophy with the loss of his left eye due to retinoblastoma when he was 2-year-old using medically graded silicone material. The technique used is simple, cost effective, and easy way for fabrication and rehabilitation of an orbital defect using silicone prosthesis where retention is achieved by a combination of silicone adhesives and tapes, and to a very small extent by bony and soft tissue undercut, hence providing better esthetic and psychological outcome. The acrylic part of the prosthesis was adhered to the socket with the help of a two-way silicon adhesive tape. Since the patient had lost his eye when he was 2-year-old, the development of eye and periorbital tissue on the defect side lead to hemiatrophy; in our approach, we have attempted to build the prosthesis in par with the normal side so that the fullness on the defect side was restored to that of the contralateral side. The fabricated facial prosthesis was durable, esthetic, and had good retention.
摘要：
在先天性异常的情况下，可能需要切除眼睛，严重创伤,或疾病如感染，肿瘤，或者恶性肿瘤。与眼睛丧失相关的毁容通常伴随着身体问题，心理创伤,生活质量差。假体置换是通过产生可接受的和逼真的外观来使个人恢复其正常职业的选择治疗。本文介绍了一名19岁男性患有面部偏侧萎缩的假肢康复，他在2岁时使用医学分级的有机硅材料因视网膜母细胞瘤而失去左眼。使用的技术很简单，成本有效，使用硅胶假体制造和修复眼眶缺损的简便方法，其中通过硅胶粘合剂和胶带的组合实现固位，在很小的程度上被骨头和软组织咬伤，从而提供更好的审美和心理结果。借助双向硅胶带将假体的丙烯酸部分粘附到窝上。由于病人在2岁时失去了眼睛，缺损侧眼睛和眶周组织的发育导致偏侧萎缩；在我们的方法中，我们试图构建与正常侧相同的假体，以使缺损侧的饱满度恢复到对侧。制造的面部假体耐用，审美，并有很好的保留。
