04Mar 2019

FABRICATION OF SILICONE AURICULAR PROSTHESIS RETAINED BY CUSTOMISED SMOOTH SURFACE TITANIUM IMPLANT IN BURN PATIENT.

Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Pinna loss is not uncommon due to accident, burn, or defect resulting from congenital malformation. Auricular prosthesis are generally fabricated by PMMA or silicones and usually retained by spectacle, hairband, adhesives etc. Loss of soft tissue and thinning of superficial skin due to burn creates a lot of problems related to retention of conventional auricular prosthesis especially in temperate zones. Cortical bone thickness in mastoid area remains a hope for placement of titanium implants in these patients. Conventional two piece implants have a major drawback that is causes recurrent peri-implant skin infection in burn patient which may lead to constant irritation or implant failure. It is because of two major reasons one being the transition zone between implant body and abutment and other is surface roughness of implants. To avoid this in present case customised single piece smooth surface wide neck implants were used so that thin skin after burn do not get soggy and inflamed to compromise the prognosis. The external auditory meatus (EAM) always serves as a reference to locate clear acrylic stent. Diagnostic procedure done to confirm locations of implants using high resolution computed tomographic scan of temporal bone with radiographic auricular stent. Fabrication of silicone auricular prosthesis using cast bar and clip system as retentive aid has been described.

  1. Halsnad s m, srinivasan d, jeynes p, sharp i. Re: p. Gentile, f. Nicoli, r. Caruso, g. Gravante, v. Cervelli. Alternative strategy to reconstruct the nose after excision: extra-oral implant anchored to bone [br. J. Oral maxillofac. Surg. 47 (2009) 50-51]?br j oral maxillofac surg.?2009;47(6):491?492.?[pubmed]
  2. Badie-modiri b, kaplanski p. [extra-oral implants: principal areas of implantation]?rev stomatolchirmaxillofac.?2001;102(5):229?233.?[pubmed]
  3. Tjellstr?m a. Osseointegrated implants for replacement of absent or defective ears.?Clinplast surg.?1990;17(2):355?366.?[pubmed]
  4. Jensen o t, brownd c, blacker j. Nasofacial prostheses supported by osseointegrated implants.?Int j oral maxillofac implants.?1992;7(2):203?211.?[pubmed]
  5. Jacobsson m, tjellstrom a, fine l, andersson h. A retrospective study of osseointegrated skin-penetrating titanium fixtures used for retaining facial prostheses.?Int j oral maxillofac implants.?1992;7(4):523?528.?[pubmed]
  6. Abu-serriah m m, bagg j, mcgowan d a, moos k f, mackenzie d. The microflora associated with extra-oral endosseous craniofacial implants: a cross-sectional study.?Int j oral maxillofac surg.?2000;29(5):344?350.?[pubmed]
  7. Brix m, badie-modiri b, delcampe p. [extra-oral implants: surgical procedures]?rev stomatolchirmaxillofac.?2001;102(5):243?247.?[pubmed]
  8. Gentile p, nicoli f, caruso r, gravante g, cervelli v. Alternative strategy to reconstruct the nose after excision: extra-oral implant anchored to bone.?Br j oral maxillofac surg.?2009;47(1):50?51.[pubmed]
  9. Sabin p, labb? d, ferrand j y, daburon p, compere j f. [maxillofacial prosthesis fixed on endosseous implants. Apropos of 15 cases]?1995;40(4):363?370.?[pubmed]
  10. Gitto c a, plata w g, schaaf n g. Evaluation of the peri-implant epithelial tissue of percutaneous implant abutments supporting maxillofacial prostheses.?Int j oral maxillofac implants.?1994;9(2):197?206.?[pubmed]
  11. Holgers k m, bjursten l m, thomsen p, ericson l e, tjellstr?m a. Experience with percutaneous titanium implants in the head and neck: a clinical and histological study.?J invest surg.?1989;2(1):7?16.?[pubmed]
  12. Holgers k m, ljungh a. Cell surface characteristics of microbiological isolates from human percutaneous titanium implants in the head and neck.?1999;20(14):1319?1326.[pubmed]
  13. Holgers k m, roupe g, tjellstr?m a, bjursten l m. Clinical, immunological and bacteriological evaluation of adverse reactions to skin-penetrating titanium implants in the head and neck region.?Contact dermat.?1992;27(1):1?7.?[pubmed]
  14. Toljanic j a, morello j a, moran w j, panje w r, may e f. Microflora associated with percutaneous craniofacial implants used for the retention of facial prostheses: a pilot study.?Int j oral maxillofac implants.?1995;10(5):578?582.?[pubmed]
  15. Habakuksw, potter-ratzlaff e. Impressions for facial prostheses. In: mckinstry re, editor. Fundamentals of facial prosthetics. Arlington (va): abi professional publications; 1995. P. 44.
  16. Simpson jw, hesbyra, pfeifer dl, pelleugbjr. Arbitrary mandibular hinge axis locations. J prosthet dent 1984;51:819-22.
  17. Plastic surgery
  18. Tjellstr?m a, yontchev e, lindstr?m j, br?nemark pi. Five years' experience with bone-anchored auricular prostheses. Otolaryngol head neck surg. 1985;93(3):366-72.
  19. Tjellstr?m a. Osseointegrated implants for replacement of absent or defective ears. Clinplast surg. 1990;17(2):355-66.
  20. Nishimura rd, roumanas e, sugai t, moy pk. Auricular prostheses and osseointegrated implants: ucla experience. J prosthet dent. 1995;73(6):553-8.
  21. D. Taylor,?clinical maxillofacial prosthetics, quintessence publishing co. Inc, hanover park, il, usa, 1st edition, 2000.
  22. C. Lemon, m. S. Chambers, p. J. Wesley, and j. W. Martin, ?technique for fabricating a mirror-image prosthetic ear,??journal of prosthetic dentistry, vol. 75, no. 3, pp. 292-293, 1996.View at publisher???view at google scholar
  23. Sivayoham and t. J. Woolford, ?current opinion on auricular reconstruction,??current opinion in otolaryngology and head and neck surgery, vol. 20, no. 4, pp. 287?290, 2012.View at publisher???view at google scholar???view at scopus
  24. Storck, r. Staudenmaier, m. Buchberger et al., ?total reconstruction of the auricle: our experiences on indications and recent techniques,??biomed research international, vol. 2014, article id 373286, 15 pages, 2014.View at publisher???view at google scholar???view at scopus29
  25. O. Karatas, e. D. Cifter, d. O. Ozenen, a. Balik, and e. B. Tuncer, ?manufacturing implant supported auricular prostheses by rapid prototyping techniques,??european journal of dentistry, vol. 5, no. 4, pp. 472?477, 2011.View at google scholar.

[Nancy raj, Rajesh bansal, Vakil singh and Vishambhar singh. (2019); FABRICATION OF SILICONE AURICULAR PROSTHESIS RETAINED BY CUSTOMISED SMOOTH SURFACE TITANIUM IMPLANT IN BURN PATIENT. Int. J. of Adv. Res. 7 (Mar). 264-269] (ISSN 2320-5407). www.journalijar.com

dr. rajesh bansal
professor, faculty of dental sciences, IMS, BHU

DOI:

Article DOI: 10.21474/IJAR01/8630      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8630

Download Full Paper

Download PDF No. of Downloads: 16 | No. of Views: 66