Prosthetic rehabilitation on patient with orbital defect: A customised approach

Rostam Iffendi Idris; Tengku Fazrina Tengku Mohd Ariff

doi:10.31436/ijohs.v4i2.207

Authors

Rostam Iffendi Idris Conservative Dentistry Unit, Restorative Dentistry Department, Kulliyyah of Dentistry, IIUM Kuantan Campus, 25200 Kuantan, Pahan
Tengku Fazrina Tengku Mohd Ariff Centre of Restorative Dentistry, University Teknologi MARA, Sungai Buloh Campus, 47000 Sungai Buloh, Selangor dental practitioner, Dentaris Dental Clinic

DOI:

https://doi.org/10.31436/ijohs.v4i2.207

Keywords:

customized orbital prosthesis, eye prosthesis, maxillofacial rehabilitation

Abstract

Loss of eye leads to significant psychological trauma which necessitate rehabilitation. Restoring eye defects with prostheses will uplift psychological status of such patients by re-establishing the facial structures and appearance, eventually returning them to their normal life. Even though prefabricated orbital prostheses are available, the lack of proper fitting indirectly affect comfort and aesthetics. Custom-made orbital prosthesis is still preferred due to its conformity which correspond to individual defect and the ability for shade personalization. This article elaborates the technique of fabrication of a custom-made orbital prosthesis in giving a life-like appearance to the patient.

References

Andres, C.J., Haug, S.P., Munoz, C.A., Bernal, G. (1992). Effects of environmental factors on maxillofacial elastomers: Part I – Literature review. Journal of Prosthetic Dentistry, 68, 327–330.

Artopoulou, I.I., Montgomery, P.C., Wesley, P.J., Lemon, J.C. (2006). Digital imaging in the fabrication of ocular prostheses. Journal of Prosthetic Dentistry, 95(4), 327–330.

Babu, A.S., Manju, V., Nair, V.P., Thomas, C.T. (2016). Prosthetic rehabilitation of surgically treated orbital defects – Evisceration, enucleation, and exenteration: A case series. Journal of Indian Prosthodontic Society, 16,216-220.

Beumer, J. & Zlotolow, I., (1996). Restoration of facial defects. In: Beumer, J. (ed), Maxillofacial Rehabilitation–Prosthodontic and Surgical Considerations, 1st ed, St. Louis CV Mosby Publishers, pp.350-364.

Beumer, J., Marunick, M.T., Esposito, S.J. (2011). Maxillofacial rehabilitation: Prosthodontic and surgical management of cancer-related, acquired and congenital defect of the head and neck. Quintessence Publishing, 276.

Cain, J.R. (1982). Custom ocular prosthetics. Journal of Prosthetic Dentistry, 48 (6), 690–694.

Chang, A.E., Karnell, L.H., Menck, H.R. (1998). The National Cancer Data Base report on cutaneous and noncutaneous melanoma: A summary of 84,836 cases from the past decade. The American College of Surgeons Commission on Cancer and the American Cancer Society. Cancer, 83(8),1664–1678.

Croce, A., Moretti, A., D'Agostino, L., Zingariello, P. (2008). Orbital exenteration in elderly patients: personal experience. Acta Otorhinolaryngologica Italica, 28(4),193-199.

Doshi, P.J., Aruna, B. (2005). Prosthetic management of patient with ocular defect. Journal of Indian Prosthodontic Society, 5, 37-38.

Fernandes, A.U., Goiato, M.C., Batista, M.A., Santos, D.M. (2009). Color alteration of the paint used for iris painting in ocular prostheses. Brazilian Oral Research, 23,386–392.

Guttal, S.S., Patil, N.P., Nadiger, R.K., Rachana, K.B., Dharnendra, Basutkar, N. (2008). Use of acrylic resin base as an aid in retaining silicone orbital prosthesis. Journal of Indian Prosthodontic Society, 8,112-115.

Hatamleh, M.M., Watts, D.C. (2010). Effect of extraoral aging conditions on color stability of maxillofacial silicone elastomer. Journal of Prosthodontics, 19,536–543.

Isager, P., Engholm, G., Overgaard, J., Storm, H. (2006). Uveal and conjunctival malignant melanoma in Denmark 1943–97: Observed and relative survival of patients followed through 2002. Ophthalmic Epidemiology,13(2),85–96.

Kurunmäki, H., Kantola, R., Hatamleh, M.M., Watts, D.C., Vallittu, P.K. (2008). A fiber-reinforced composite prosthesis restoring a lateral midfacial defect: A clinical report. Journal of Prosthetic Dentistry,100,348–352.

Lemon, J.C., Chambers, M.S., Jacobsen, M.L., Powers, J.M. (1995). Color stability of facial prostheses. Journal of Prosthetic Dentistry, 74,613–618.

Lubkin, V., Sloan, S. (1990). Enucleation and psychic trauma. Advances in Ophthalmic Plastic and Reconstructive Surgery, 8, 259–262.

Ow, R.K.K. & Amrith, S. (1997). Ocular prosthetics: Use of a tissue conditioner material to modify a stock ocular prosthesis. Journal of Prosthetic Dentistry, 78, 2, 218–222.

Paridaens, A.D., McCartney, A.C., Minassian, D.C., Hungerford, J.L. (1994). Orbital exenteration in 95 cases of primary conjunctival malignant melanoma. British Journal of Ophthalmology, 78(7), 520–528.

Perman, K.I., Baylis, H.I. (1988). Evisceration, enucleation, and exenteration. Otolaryngologic Clinics of North America, 21(1),171-182.

Reese, A.B. (1966). Precancerous and cancerous melanosis. American Journal of Ophthalmology, 61(5),1272–1277.

Shields, C.L., Markowitz, J.S., Belinsky, I., Schwartzstein, H., George, N.S., Lally, S.E., et al. (2011). Conjunctival melanoma: Outcomes based on tumor origin in 382 consecutive cases. Ophthalmology, 118(2), 389-395.

Taylor T.D. (2000). Clinical Maxillofacial Prosthetics. Chicago, Illinois: Quintessence Publishing Co, Inc; pp. 233-276.