orbital prosthesis

眼眶假体
  • 文章类型: Case Reports
    肿瘤,先天性疾病,真菌感染,外伤是眼眶缺损的主要原因。各种保持机制,如粘合剂的应用,利用机械底切,和植入物支持的附件通常用于颌面部假体。在轨道区域,与其他机制相比,磁铁保留附件的结果是有利的。保持磁体的假体的不同优点是在插入或移除期间需要较少的手动灵活性和更好的卫生维护。颌面部区域的皮肤-植入物界面和厚组织是至关重要的要点,在植入物的规划和放置过程中应给予重视。理想情况下,眼眶假体的植入部位是外侧,红外-,和轨道区域的眶上边缘。以下病例系列描述了两种不同的方法,可通过单独设计的带有磁性附件和机械底切保留的眼眶假体的植入物来修复由于毛霉菌病而导致的眼球排出的患者。
    Neoplasms, congenital disorders, fungal infections, and traumatic injuries are the predominant causes of orbital defects. Various retentive mechanisms such as application of adhesive, utilization of mechanical undercuts, and implant-supported attachments are generally used in the maxillofacial prosthesis. In the orbital region, the result of magnet-retained attachments is favorable compared with other mechanisms. Different advantages of the magnet-retained prosthesis are less manual dexterity needed during insertion or removal and better maintenance of hygiene. The skin-implant interface and thick tissues in the maxillofacial region are the critically important points that should be given importance during the planning and placement of implants. Ideally, implant sites for orbital prosthesis are the lateral, infra-, and supraorbital rims of the orbital region. The following case series describes two different methods to rehabilitate patients with an exenterated eye due to mucormycosis by individually designed implant with magnetic attachment and mechanical undercut-retained orbital prosthesis.
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  • 文章类型: Case Reports
    Exenteration surgery greatly affects a person in terms of function, esthetics, and psychological trauma. In such cases, restoration by silicone orbital prosthesis is a well-accepted treatment option. However, this is a difficult task, necessitating personalized design of method for each patient. This case report describes the technique for fabrication of a silicone orbital prosthesis for a male patient with left orbital defect due to exenteration of a Grade 3 squamous cell carcinoma of the left eye and surrounding tissues. The patient was delivered with a satisfactory silicone orbital prosthesis having good retention and finish. Multidisciplinary management and team approach are crucial in providing precise and effective rehabilitation for improving the patient\'s quality of life and help them return to their normal social life.
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  • 文章类型: Case Reports
    颌面修复是口腔修复学的重要且公认的子学科,是研究生培训计划的关键组成部分。普通牙医在颌面部缺损患者的管理中可以发挥作用,尽管治疗通常需要在机构环境中采用多学科方法。颌面假体病例通常具有复杂的病史,但患者目标简单。保守管理的植入物保留的耳廓假体,本报告中描述的语音辅助假体和眼眶假体病例在研究生临床住院医师课程中完成,并突出了内在的复杂性,与这种性质的案件相关的挑战和最终的满意度。
    Maxillofacial prosthetics is an important and recognized sub-discipline of prosthodontics that forms a key component of postgraduate training programmes. General dentists have a role to play in the management of maxillofacial defect patients even though treatment usually requires a multidisciplinary approach in an institutional environment. Maxillofacial prosthetic cases frequently present with complex histories but simple patient goals. The conservatively managed implant-retained auricular prosthesis, speech aid prosthesis and orbital prosthesis cases described in this report were completed in a postgraduate clinical residency program and highlight the intrinsic complexities, challenges and ultimately satisfaction related to cases of this nature.
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    文章类型: Journal Article
    This report describes a different approach for diminishing the movements of orbital prosthesis during mimic movements and chewing function. Mechanical devices such as magnets are used to enhance the retention in case lack of the implants. However rigid fixation of obturator and orbital prosthesis can result in movements of the orbital prosthesis during mastication. In this case obturator and orbital prosthesis are combined by magnets. However this combination is not rigid because of an active part which provides movement. This active part allows movements in a space constructed in the acrylic base of orbital prosthesis. Thus, the movements that may occur on orbital prosthesis during chewing can be diminished by this simple mechanism. Due to the fact that designing such a mechanism that minimizes the movements of the orbital prosthesis contributes patient\'s comfort.
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  • 文章类型: Case Reports
    Exenteration of the orbital contents as well as removal of a part of maxilla with an ablative surgery for the removal of a malignant tumor can severely affect a person in terms of function, esthetics and psychological trauma. A well-retained, user-friendly, removable maxillofacial prosthesis is the key to successful prosthetic rehabilitation in such cases. Various retentive techniques include using spectacle frame, conformers, adhesives, osseointegrated implants, magnets or buttons. This paper describes a novel technique for retention of silicone orbital prosthesis using acrylic resin base attached to maxillary obturator with the help of pin and socket of an electric plug wherein the latter is attached to the eye prosthesis with the help of a mechanical undercut. This helps in better retention of both the prostheses.
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