Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy

Removal of an eye may be indicated in cases of congenital abnormality, severe trauma, or disease such as an infection, tumor, or malignancy. The disfigurement associated with a loss of an eye is often accompanied with physical problems, psychological trauma, and a poor quality of life. A prosthetic...

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Main Authors: Sanath Shetty, Fahad Mohammad, Rajesh Shetty, Kamalakanth Shenoy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:The Journal of Indian Prosthodontic Society
Subjects:
Online Access:http://www.j-ips.org/article.asp?issn=0972-4052;year=2016;volume=16;issue=1;spage=91;epage=95;aulast=Shetty
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author Sanath Shetty
Fahad Mohammad
Rajesh Shetty
Kamalakanth Shenoy
author_facet Sanath Shetty
Fahad Mohammad
Rajesh Shetty
Kamalakanth Shenoy
author_sort Sanath Shetty
collection DOAJ
description Removal of an eye may be indicated in cases of congenital abnormality, severe trauma, or disease such as an infection, tumor, or malignancy. The disfigurement associated with a loss of an eye is often accompanied with physical problems, psychological trauma, and a poor quality of life. A prosthetic replacement is the treatment of choice to return the individual to his normal vocation by producing an acceptable and life-like appearance. This article describes prosthetic rehabilitation of a 19-year-old male suffering from facial hemiatrophy with the loss of his left eye due to retinoblastoma when he was 2-year-old using medically graded silicone material. The technique used is simple, cost effective, and easy way for fabrication and rehabilitation of an orbital defect using silicone prosthesis where retention is achieved by a combination of silicone adhesives and tapes, and to a very small extent by bony and soft tissue undercut, hence providing better esthetic and psychological outcome. The acrylic part of the prosthesis was adhered to the socket with the help of a two-way silicon adhesive tape. Since the patient had lost his eye when he was 2-year-old, the development of eye and periorbital tissue on the defect side lead to hemiatrophy; in our approach, we have attempted to build the prosthesis in par with the normal side so that the fullness on the defect side was restored to that of the contralateral side. The fabricated facial prosthesis was durable, esthetic, and had good retention.
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spelling doaj.art-efb253fe68ef4f5fb72bc496a8920ed82022-12-21T17:57:57ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572016-01-01161919510.4103/0972-4052.175716Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophySanath ShettyFahad MohammadRajesh ShettyKamalakanth ShenoyRemoval of an eye may be indicated in cases of congenital abnormality, severe trauma, or disease such as an infection, tumor, or malignancy. The disfigurement associated with a loss of an eye is often accompanied with physical problems, psychological trauma, and a poor quality of life. A prosthetic replacement is the treatment of choice to return the individual to his normal vocation by producing an acceptable and life-like appearance. This article describes prosthetic rehabilitation of a 19-year-old male suffering from facial hemiatrophy with the loss of his left eye due to retinoblastoma when he was 2-year-old using medically graded silicone material. The technique used is simple, cost effective, and easy way for fabrication and rehabilitation of an orbital defect using silicone prosthesis where retention is achieved by a combination of silicone adhesives and tapes, and to a very small extent by bony and soft tissue undercut, hence providing better esthetic and psychological outcome. The acrylic part of the prosthesis was adhered to the socket with the help of a two-way silicon adhesive tape. Since the patient had lost his eye when he was 2-year-old, the development of eye and periorbital tissue on the defect side lead to hemiatrophy; in our approach, we have attempted to build the prosthesis in par with the normal side so that the fullness on the defect side was restored to that of the contralateral side. The fabricated facial prosthesis was durable, esthetic, and had good retention.http://www.j-ips.org/article.asp?issn=0972-4052;year=2016;volume=16;issue=1;spage=91;epage=95;aulast=ShettyAdhesivesfacial hemiatrophyorbital prosthesisretinoblastomasilicones
spellingShingle Sanath Shetty
Fahad Mohammad
Rajesh Shetty
Kamalakanth Shenoy
Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
The Journal of Indian Prosthodontic Society
Adhesives
facial hemiatrophy
orbital prosthesis
retinoblastoma
silicones
title Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
title_full Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
title_fullStr Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
title_full_unstemmed Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
title_short Prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
title_sort prosthetic rehabilitation of an orbital defect for a patient with hemifacial atrophy
topic Adhesives
facial hemiatrophy
orbital prosthesis
retinoblastoma
silicones
url http://www.j-ips.org/article.asp?issn=0972-4052;year=2016;volume=16;issue=1;spage=91;epage=95;aulast=Shetty
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AT fahadmohammad prostheticrehabilitationofanorbitaldefectforapatientwithhemifacialatrophy
AT rajeshshetty prostheticrehabilitationofanorbitaldefectforapatientwithhemifacialatrophy
AT kamalakanthshenoy prostheticrehabilitationofanorbitaldefectforapatientwithhemifacialatrophy