Implant supported nasal epithesis in cases of reduced amount of paranasal bone

Aim: To evaluate the Ti-Epiplating System (MEDICON®) for implant supported nasal epitheses after nasal ablation. Method: Indication for the use of the Ti-Epiplating System were patients who received nasal ablation because of malignancies and who had only poor bony conditions to place other kinds of implants to anchor a nasal epithesis. Intraoperative handling was determined. All kinds of complications such as infection, wound dehiscence, screw loosening and implant fracture were evaluated. Results: Three patients were treated using the Ti-Epiplating Systems. The intraoperative handling was judged as simple. After a mean follow-up of 18 months no complications such as infection, wound dehiscence, screw loosening or implant fracture occurred. Sufficient anchoring of nasal epithesis was possible in all patients. Conclusions: The Ti-Epiplating System consists of multiple small screws and one plate. Therefore it is favourable in patients with reduced bony conditions for sufficient anchoring of nasal epitheses. Keywords: nasal epithesis, bony anchoring, implant