Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report

Loss of the eye results in a functional impairment, disfigurement of the face and long-term psychological effects on the patient. Coronavirus Disease-2019 (COVID-19) pandemic was accompanied by an increase in the number of patients reporting with mucormycosis. The treatment often involves widespre...

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Main Authors: Sukrit Taneja, Arun Khalikar, Sattyam Wankhede, Suryakant Deogade, Vinay Dutta
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18131/62483_CE[Ra1]_F(IS)_PF1(DA_KM_OM)_PFA(NC_OM)_PN(KM).pdf
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author Sukrit Taneja
Arun Khalikar
Sattyam Wankhede
Suryakant Deogade
Vinay Dutta
author_facet Sukrit Taneja
Arun Khalikar
Sattyam Wankhede
Suryakant Deogade
Vinay Dutta
author_sort Sukrit Taneja
collection DOAJ
description Loss of the eye results in a functional impairment, disfigurement of the face and long-term psychological effects on the patient. Coronavirus Disease-2019 (COVID-19) pandemic was accompanied by an increase in the number of patients reporting with mucormycosis. The treatment often involves widespread excision of the involved area, leading to gross facial deformity. Rehabilitation of the orbital defect is a complex task and requires a thorough treatment planning. It has always been challenging for a prosthodontist to create an orbital prosthesis for an exenterated defect brought on by post-COVID mucormycosis because it is difficult to meet the patient’s expectations. It is a time-consuming process requiring multiple appointments with every appointment being an important one. The advent of Computer-Aided Design/Computer-Aided Manufacturing (CAD-CAM) technology has made the fabrication simple, but not all have access to the required infrastructure. The conventional and economical silicone prosthesis still is a popular choice among clinicians. A 52-year-old male patient reported to the Department of Prosthodontics for an artificial substitute of his missing left eye, which was exenterated in the surgical treatment of mucormycosis. The present case report describes the fabrication of a two-piece magnet retained hollow orbital prosthesis with a “customised stock eye”. The prosthesis is designed in such way that, it utilises the natural undercut in the defect and a magnet between the conformer and the prosthesis. This yields in better maintenance and limiting the contact of silicon with the body fluids, thereby, enhancing the long-term use.
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spelling doaj.art-6b71d8f668974c419a1412e71dc83f7e2023-07-11T11:46:09ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-07-01177040710.7860/JCDR/2023/62483.18131Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case ReportSukrit Taneja0Arun Khalikar1Sattyam Wankhede2Suryakant Deogade3Vinay Dutta4Postgraduate Student, Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India.Professor and Head, Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India.Associate Professor, Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India.Associate Professor, Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India.Postgraduate Student, Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India.Loss of the eye results in a functional impairment, disfigurement of the face and long-term psychological effects on the patient. Coronavirus Disease-2019 (COVID-19) pandemic was accompanied by an increase in the number of patients reporting with mucormycosis. The treatment often involves widespread excision of the involved area, leading to gross facial deformity. Rehabilitation of the orbital defect is a complex task and requires a thorough treatment planning. It has always been challenging for a prosthodontist to create an orbital prosthesis for an exenterated defect brought on by post-COVID mucormycosis because it is difficult to meet the patient’s expectations. It is a time-consuming process requiring multiple appointments with every appointment being an important one. The advent of Computer-Aided Design/Computer-Aided Manufacturing (CAD-CAM) technology has made the fabrication simple, but not all have access to the required infrastructure. The conventional and economical silicone prosthesis still is a popular choice among clinicians. A 52-year-old male patient reported to the Department of Prosthodontics for an artificial substitute of his missing left eye, which was exenterated in the surgical treatment of mucormycosis. The present case report describes the fabrication of a two-piece magnet retained hollow orbital prosthesis with a “customised stock eye”. The prosthesis is designed in such way that, it utilises the natural undercut in the defect and a magnet between the conformer and the prosthesis. This yields in better maintenance and limiting the contact of silicon with the body fluids, thereby, enhancing the long-term use.https://www.jcdr.net/articles/PDF/18131/62483_CE[Ra1]_F(IS)_PF1(DA_KM_OM)_PFA(NC_OM)_PN(KM).pdfcoronavirus disease-2019mucormycosisorbital defectorbital prosthesis
spellingShingle Sukrit Taneja
Arun Khalikar
Sattyam Wankhede
Suryakant Deogade
Vinay Dutta
Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report
Journal of Clinical and Diagnostic Research
coronavirus disease-2019
mucormycosis
orbital defect
orbital prosthesis
title Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report
title_full Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report
title_fullStr Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report
title_full_unstemmed Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report
title_short Prosthetic Rehabilitaion of an Exenterated Defect with a Magnet Retained, Customised Stock Eye Two-piece Hollow Orbital Prosthesis: A Case Report
title_sort prosthetic rehabilitaion of an exenterated defect with a magnet retained customised stock eye two piece hollow orbital prosthesis a case report
topic coronavirus disease-2019
mucormycosis
orbital defect
orbital prosthesis
url https://www.jcdr.net/articles/PDF/18131/62483_CE[Ra1]_F(IS)_PF1(DA_KM_OM)_PFA(NC_OM)_PN(KM).pdf
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