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Lorenzo Trevisiol, Pasquale Procacci, Antonio D'Agostino, Francesca Ferrari, Daniele De Santis, Pier Francesco Nocini
PURPOSE: Several authors have described zygoma implants as a reliable surgical option to rehabilitate severe maxillary defects in case of extreme atrophy or oncological resections. The aim of this study is to report a new technical approach to the rehabilitation of a complex oronasal defect by means of a zygoma-implant-supported full-arch dental prosthesis combined with a nasal epithesis. PATIENTS AND METHODS: The patient presented with a subtotal bilateral maxillectomy and total rhinectomy defect because of a squamous cell carcinoma of the nose...
December 2016: Int J Implant Dent
P Justusová, M Štubňa, M Veselovský, B Lipková
INTRODUCTION: Uveal melanoma is the most common primary intraocular tumour in adults in Caucasians and in 75% is arising from choroid. It threatens not only the patients loss of vision and eye, but also 50% of patients after 5-year interval after therapy die due to distant metastases. The treatment of small and medium-sized melanoma are methods preserving eye globe. Almost half of the total number of patients is still unavoidable enucleation. Considerably rarer is indicated exenteration of an orbit...
2016: Ceská a Slovenská Oftalmologie
Giorgos Papaspyrou, Bernhard Schick, Mathias Schneider, Basel Al Kadah
Advanced nasal cancers usually demand partial or total rhinectomy followed by radiotherapy. Reconstruction of the resulting defects can be achieved by means of reconstructive plastic surgery and/or epithetic surgery. The data of 22 patients who had been treated after nasal ablation by means of custom-made silicone nasal epithesis fixed by bone-anchored magnets between 2003 and 2014 were evaluated retrospectively. There were 15 male (68.2 %) and 7 (31.8 %) female patients. The most common etiology that led to epithetic rehabilitation was a squamous cell carcinoma in 16 patients...
September 20, 2016: European Archives of Oto-rhino-laryngology
Bruno Ramos Chrcanovic, Johanna Nilsson, Andreas Thor
OBJECTIVE: To assess the survival rate of craniofacial implants (CIs) to support facial prosthesis/epithesis and the prevalence of surgical/biological complications based on previously published studies. METHODS: An electronic search was undertaken in March/2016. Only studies with a minimum of 5 patients were included. Untransformed proportions of implant failures for different regions were calculated. A meta-analysis evaluated the influence of radiotherapy on the failure rates...
August 6, 2016: Journal of Cranio-maxillo-facial Surgery
Dubravko Manestar, Sven Maričić, Dean Komljenović, Damir Miletić, Antonija Ružić Baršić, Emanuel Borović
No abstract text is available yet for this article.
July 8, 2016: Laryngoscope
V Bozzato, K Bumm, H Gärtner, M H Schneider, P Schwerdtfeger, C Sittel, B Schick
BACKGROUND: The utilization of craniofacial prosthesis has proven to be very successful for craniofacial defects. However, there is a lack of knowledge about the value of an epithesis for voice rehabilitation in patients with tracheostomy. The aim of this study was to describe application of the tracheostomy epithesis and to present a systematic analysis of the functional results of this prosthetic technique. MATERIALS AND METHODS: This retrospective analysis included 48 patients on follow-up being treated in three different centers after laryngectomy and/or tracheostomy between 2008 and 2014...
April 2016: HNO
Filip Ivanjac, Vitomir S Konstantinović, Vojkan Lazić, Igor Dordević, Stefan Ihde
Implant stability is a principal precondition for the success of implant therapy. Extraoral implants (EO) are mainly used for anchoring of maxillofacial epithesis. However, assessment of implant stability is mostly based on principles derived from oral implants. The aim of this study was to investigate clinical stability of EO craniofacial disk implants (single, double, and triple) by resonance frequency analysis at different stages of the bone's healing. Twenty patients with orbital (11), nasal (5), and auricular (4) defects with 50 EO implants placed for epithesis anchorage were included...
March 2016: Journal of Craniofacial Surgery
T Kalle Lundgren, Marco Pignatti, Martin Halle, Giulia Boscaini, Ann-Charlotte Docherty Skogh, Chiarini Luigi, Giorgio De Santis
Reconstruction of composite orbital defects must address the orbit and an exposed skull base and/or maxillary region. The orbit should not only be covered but also reshaped to accommodate the orbital contents or an epithesis when warranted. This study presents a rationale for a near-anatomical reconstruction of the orbit, together with adjacent dead space obliteration, using the segmentalized osteo-fascia-cutaneous fibula flap. Before the flap transfer, a cutting template for the fibula is made according to the measures and requirements of the facial defect...
February 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
V Bozzato, M H Schneider, B Al Kadah, B Schick
The past century saw rapid development of craniofacial prostheses. Particularly the challenging issue of surgical fixation was the subject of intensive research and development. During the past three decades, the principle of osseointegration has proven to provide a reliable method for epithesis fixation. The continuous technical development of implant systems has led to almost minimally invasive surgical techniques, with ever increasing stability of the implants. Osseointegrated implants are a proven and durable solution in the rehabilitation of the patient with a defect in the craniofacial region...
October 2015: HNO
A Furdová, A Ferková, V Krásnik, I Krčová, K Horkovičová
AIM: Diagnosis and treatment of tumors of the eye is extremely difficul; surgical treatment in advanced stages, when the tumor grows in the orbit, leads to extensive radical surgery of the face. The extent and nature of surgical procedures depends on the nature of the tumor process, in advanced stages is indicated mutilating surgery--exenteration of the orbit. Exenteration of the orbit due to the extrascleral extension of malignant melanoma of the uvea is very rare, unfortunately, even today in certain cases it is necessary to make such a mutilating surgery...
June 2015: Ceská a Slovenská Oftalmologie
Oliver C Thiele, Jörn Brom, Anton Dunsche, Michael Ehrenfeld, Philippe Federspil, Bernhard Frerich, Frank Hölzle, Martin Klein, Matthias Kreppel, Alexander C Kübler, Norbert R Kübler, Martin Kunkel, Johannes Kuttenberger, Günter Lauer, Boris Mayer, Christopher Mohr, Andreas Neff, Michael Rasse, Rudolf H Reich, Siegmar Reinert, Daniel Rothamel, Robert Sader, Henning Schliephake, Rainer Schmelzeisen, Alexander Schramm, Peter Sieg, Hendrik Terheyden, Jörg Wiltfang, Christoph M Ziegler, Robert A Mischkowski, Joachim E Zöller
Even though modern surgical techniques are dominating reconstructive facial procedures, the capability to use facial epitheses for reconstruction is still an important skill for the maxillofacial surgeon. We present an international multicenter analysis to clarify which techniques are used to fixate facial prostheses. We contacted all maxillofacial departments in Germany, Austria, Switzerland and Norway which were registered with the German society for oral and maxillofacial surgery (DGMKG). These centers were asked via electronical mail to provide information on the type of epithesis fixation systems currently in use...
September 2015: Journal of Cranio-maxillo-facial Surgery
Andrea Jovankovičová, Roman Staník, Samuel Kunzo, Lucia Majáková, Milan Profant
OBJECTIVES: Congenital aural atresia and ear deformities have been the subject of serious discussions for centuries. These malformations are associated with significant aesthetic and functional problems. Outcome of the surgical solution is rarely optimal. Despite the gradual improvement of surgical techniques the surgery still remains associated with very limited short-term and mainly long-term functional outcome. Therefore, the priority treatment in modern otology becomes implantable devices--BAHA, Bonebridge and active middle ear implants...
July 2015: International Journal of Pediatric Otorhinolaryngology
Ayato Hayashi, Masakazu Komoto, Takashi Matsumura, Masatoshi Horiguchi, Rica Tanaka, Atsushi Arakawa, Hiroshi Mizuno
Conjunctival squamous cell carcinoma (SCC) arising from an anophthalmic socket is quite rare, with few reports in the English literature. A 59-year-old man who had used an ocular prosthesis for 40 years had not removed the ocular prosthesis at all during the last 5 years. He had developed a mass on his entire right upper eyelid, and biopsy revealed a moderately differentiated SCC. Orbital exenteration including the upper and lower eyelid skin was performed. The defect was reconstructed with a free forearm flap followed by the placement of a facial epithesis...
March 2015: Plastic and Reconstructive Surgery. Global Open
Gennaro Selvaggi, Rickard Branemark, Anna Elander, Mattias Liden, Joacim Stalfors
The principle of osseointegration is accepted and used in reconstructive surgery. This study presents the first series of five patients where titanium implants have been implanted into the pubic bones of female-to-male (FTM) transsexual patients, in order to attach a "bone-anchored" penile epithesis. Following patient selection based on patients' wishes, pubic bones of 10 FTM transsexuals were analysed by CT-scan and a virtual planning was made. A surgical plan was also developed. To date, five FTM transsexuals have undergone the two-stage surgery...
February 2015: Journal of Plastic Surgery and Hand Surgery
L Evrard, R Glineur
Maxillofacial defect caused by cancer treatment represents a problem affecting the quality of life of patients. Epithethic solutions are indicated if plastic surgery reconstruction is not a valid option for an extensive defect. We present the case of a 42 years-old woman, who had undergone a total nasal resection, for a well-differentiated epidermoid carcinoma of the tip of the nose. The anatomopathologic analysis of the piece of resection showed free margins, and did not reveal any ganglionar metastasis. No radiotherapy was applied...
September 2013: Revue Médicale de Bruxelles
Janine Fierz, Walter Bürgin, Regina Mericske-Stern
In the present study, the oral health-related quality of life of 18 patients (13 men and 5 women) was evaluated using validated questionnaires as proposed by the European Organization of Research and Treatment of Cancer (EORTC). The patients belonged to a cohort of 48 patients, whose prosthetic treatment was performed during the years 2004-2007. In the course of tumor resection, 12 patients underwent graft surgery and 14 patients radiotherapy. One patient required a nasal epithesis since resection of the nose became necessary...
2013: Revue Mensuelle Suisse D'odonto-stomatologie
J Brom, T Stöver, J Wagenblast
The construction of facial prostheses is frequently used as a remedial treatment method in otorhinolaryngology. Modern prostheses are often attached to the face via bone anchored titanium implants and magnetic attachments. The use of specialised silicones and colouring techniques produces prostheses which realistically mimic lost facial tissues and significantly enhance patient quality of life. The article provides an overview of the possibilities of modern epithetics in the treatment of facial defects resulting from head and neck tumors...
January 2013: Laryngo- Rhino- Otologie
Maarten de Jong, Jan de Cubber, Frans de Roeck, Bernd Lethaus, Doke Buurman, Peter Kessler
BACKGROUND: Anaplastology is the discipline devoted to the construction of epithesis. An epithesis is a prosthesis that replaces soft tissue. This offers a solution for patients with a facial defect. CASE DESCRIPTION: A 78-year-old woman, who had undergone ablative surgical treatment for a squamous cell carcinoma of the left ear, was left with a large defect in the mastoid region. This defect had a severe impact on her psychosocial functioning. For this patient an episthesis was constructed to replace the left ear...
2011: Nederlands Tijdschrift Voor Geneeskunde
J Markwardt, J Lexmann, B Reitemeier
No abstract text is available yet for this article.
February 2012: Laryngo- Rhino- Otologie
Caferi Tayyar Selçuk, Ünal Sahin, Selim Çelebioglu, Orhan Erbas, Cemal Aydin, Serdar Yüce
Reconstruction of facial organ and tissue losses using autogenous tissue is a permanent and effective method in plastic surgery. However, in cases where the patient's general condition does not allow for surgical reconstruction or where the patient is in need of reconstruction of complex organs such as the eye, nose, or ear, an epithesis can be considered as an alternative to treatment with autogenous tissue. The purpose of this study was to investigate the factors affecting the success rate of facial reconstructions with an externally retained prosthesis in relation to the defect location and radiotherapy treatment...
November 2011: Journal of Craniofacial Surgery
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