Anaplastology in times of facial transplantation: Still a reasonable treatment option?

Toso, Sabine Maria; Menzel, Kerstin; Motzkus, Yvonne; Klein, Martin; Menneking, Horst; Raguse, Jan-Dirk; Nahles, Susanne; Hoffmeister, Bodo; Adolphs, Nicolai

doi:10.1016/j.jcms.2015.05.005

Cited by 14 publications

(9 citation statements)

References 22 publications

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“…5 Anchorage in the canine pillar is the most used and has been established in the literature through the "All-on-4" concept. 6 Nevertheless, in some cases, bone remodeling in the posterior region of the maxilla has been shown to be so severe that it promotes extensions into the anterior maxillary sinus, making it impossible to anchor implants in the region of the canine pillar, as recommended in the original angled implant technique. 7 When faced with these situations, the alternative for rehabilitation include transsinus implants, 8,9 pterygoid implants and zygomatic implants.…”

Section: Rehabilitation Of Atrophic Maxilla With Immediate Loading Of...mentioning

confidence: 99%

“…1,7,8 Prostheses promote adequate alloplastic replacement of the eye globe and surroundings, providing good symmetry, color, and anatomical details. 2,6 Oculofacial prosthesis restore aesthetics, protect tissues, and rehabilitate the patient for social reintegration and has a positive influence on the psychosocial awareness after rehabilitation. 5,7 The use of extraoral implants for retention, 2,8 along with 3D digital and prototyping technologies, have contributed to increasing satisfactory aesthetic results of prostheses use.…”

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confidence: 99%

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Oculofacial Prosthetic Rehabilitation Complemented With Temporary Fillers and Neurotoxin

Schnorr

Salazar-Gamarra

Latuff

et al. 2022

Journal of Craniofacial Surgery

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: Surgical treatment of head and neck cancer causes severe tissue loss, therefore, deformities and psychosocial consequences. In cases involving orbit exenteration, satisfactory reconstruction can only be achieved with prosthetic replacement, despite successful reconstructive plastic surgery. Extraoral implants, 3D scanning, and prototyping technologies have contributed to increase satisfactory aesthetic results of oculofacial prosthesis. However, to achieve prosthetic rehabilitation refinement, patients' biological tissues have been treated with injectable cosmetic adjuncts methods as complements to results. This study aimed to describe the use of botulinum toxin type A, hyaluronic acid, and calcium hydroxyapatite previously to oculofacial prostheses manufacturing, in 5 oncologic patients of a rehabilitation unit. Outcomes produced by additional cosmetic methods on tissues, prostheses planning, and overall facial rehabilitation were observed and registered by photographs. Botulinum toxin type A, hyaluronic acid, and calcium hydroxyapatite has shown to be useful in improving asymmetries, volumizing surgical depressions and dissembling atrophic scars. Presenting an additional resource to improve overall results, enabling the manufacturing of smaller, thinner, and better-fitting oculofacial prostheses. Limitations as chronic infection and necrosis episodes, related to filler injection into previously irradiated sites, were described. The temporary effect of the materials used generates a need for reapplications but increases the safety of such procedures and enables patients' cancer treatment follow-up.

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Section: Rehabilitation Of Atrophic Maxilla With Immediate Loading Of...mentioning

confidence: 99%

mentioning

confidence: 99%

Oculofacial Prosthetic Rehabilitation Complemented With Temporary Fillers and Neurotoxin

Schnorr

Salazar-Gamarra

Latuff

et al. 2022

Journal of Craniofacial Surgery

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“…Eine "Gesichtsversehrung" geht für den Betroffenen mit einer erheblichen psychischen Belastung, einer Reduktion der Lebensqualität und einer sozialen Stigmatisierung einher [1]. Während in den letzten Jahrzehnten gerade durch die Weiterentwicklung der mikrochirurgischen Verfahren große Fortschritte in der rekonstruktiven Chirurgie erreicht wurden, bleiben einzelne Regionen des Gesichts einer chirurgischen Rekonstruktion bis heute verschlossen [2].…”

Section: Introductionunclassified

Epithetik – Rehabilitation bei einfachen und komplexen Gesichtsdefekten

Raguse

Motzkus

2019

MKG-Chirurg

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Die Teilnahme an diesem zertifizierten Kurs ist für 12 Monate auf CME.SpringerZahnmedizin.de möglich. Den genauen Teilnahmeschluss erfahren Sie dort. Teilnehmen können Sie:-als Abonnent dieser Fachzeitschrift,-als e.Dent-oder e.Med-Abonnent. Zertifizierung Diese Fortbildungseinheit ist zertifiziert von der Ärztekammer Nordrhein gemäß Kategorie D und damit auch für andere Ärztekammern anerkennungsfähig. Es werden 3 Punkte vergeben. Nach den Leitsätzen zur zahnärztlichen Fortbildung werden ärztliche Fortbildungspunkte auch von den Zahnärztekammern anerkannt (entsprechend Position F der Punktebewertung von Fortbildungen der BZÄK/DGZMK/KZBV). Anerkennung in Österreich Gemäß Diplom-Fortbildungs-Programm (DFP) werden die auf CME.SpringerZahnmedizin.de erworbenen Fortbildungspunkte von der Österreichischen Ärztekammer 1:1 als fachspezifische Fortbildung angerechnet (§26(3) DFP Richtlinie).

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“…Being removable, they also allow for cleaning and regular surveillance of the tumor resection site. 4,5 Extraoral implants have been used successfully for many years for prosthesis fixation in the auricular, orbital, and nasal regions. 4 In patients with extensive midfacial defects, combining craniofacial prostheses with intraoral dentures allows for near complete restoration of both cosmetic and functional requirements.…”

Section: Introductionmentioning

confidence: 99%

“…The fabricated facial prostheses can replace large sections of hard and soft tissues, and can be sculpted to mimic anatomical contours and details while simultaneously avoiding the tissue distortion often associated with surgical reconstruction. Being removable, they also allow for cleaning and regular surveillance of the tumor resection site …”

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confidence: 99%

Immediate Implant Placement and Provisionalization Following Tumor‐Resective Surgery in the Midfacial Region: A Case Series

Fernandes

Heever

Sykes

2017

Journal of Prosthodontics

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Surgical and prosthodontic restoration of the midfacial region following tumor resection has always posed a considerable challenge, as this area serves crucial functional and esthetic roles. Being diagnosed and subsequently treated for facial tumors can have an immense psychosocial impact on a patient, as the resulting defects are often disfiguring, and lead to an inability to masticate, swallow, and speak clearly. Provision of an immediate facial and dental prosthesis at the time of surgery can limit these side effects and help reduce mental duress on these patients and their families, as well as aid in the process of rehabilitation. Rapid prototyping (RP) and 3D printing, as this paper shows, assists presurgical planning of the tumor resection, as well as the manufacture of maxillofacial and dental prostheses. Often these defects are extensive, so prosthesis retention is aided by zygomatic implants placed at the time of surgical resection. When placed at this time, and prior to radiation therapy, these craniofacial implants have improved survival rates. Thus, this treatment modality can improve postoperative recovery considerably, while at the same time allowing for cleaning and monitoring of the resected site for tumor recurrence.

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Anaplastology in times of facial transplantation: Still a reasonable treatment option?

Cited by 14 publications

References 22 publications

Oculofacial Prosthetic Rehabilitation Complemented With Temporary Fillers and Neurotoxin

Oculofacial Prosthetic Rehabilitation Complemented With Temporary Fillers and Neurotoxin

Epithetik – Rehabilitation bei einfachen und komplexen Gesichtsdefekten

Immediate Implant Placement and Provisionalization Following Tumor‐Resective Surgery in the Midfacial Region: A Case Series

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