Online OnlyDOI: 10.11607/jomi.4302, PubMed-ID: 29140385Seiten: e255-e258, Sprache: EnglischBuzayant, Muaiyed Mahmoud / Yunu, Norsiah Binti / Oon, Ha Kien / Tawfiq, OmarOsseointegrated craniofacial implants have improved retention and patients' perceptions of implant-retained nasal prostheses; however, the determination of the available bone sites for implant placement post-rhinectomy is difficult. This case report describes the use of cone beam computed tomography scanning and computer-assisted virtual planning in conjunction with digital photographs for rehabilitation of a facial defect with an implant-retained silicon nasal prosthesis. Two implants were planned in the anatomical area with adequate bone volume to achieve favorable cosmetic outcomes and accessibility for hygiene maintenance. The implant-retained nasal prosthesis resulted in a meaningful improvement in the esthetics without the need for plastic surgery. In such cases, the post-rhinectomy reconstruction surgery should be limited to preparation of the surgical defect area for an implant-retained prosthesis. Silicone prostheses are reliable alternatives to surgery and should be considered in selected cases.
Schlagwörter: bar attachment, implant retained, maxillofacial prosthesis, nasal prosthesis