Fabrication of a provisional nasal prosthesis

A technique for making a provisional nasal prosthesis for interim use after the ablation of a midface tumor is described. The technique is especially useful for the re-creation of a nasal form in an expedient and cost-effective manner. A preoperative definitive cast, or moulage, of the patient that...

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Bibliographic Details
Published in:The Journal of prosthetic dentistry 2014-11, Vol.112 (5), p.1308-1310
Main Authors: Rosen, Evan B., DMD, MPH, Golden, Marjorie, MAMS, CCA, CDT, Huryn, Joseph M., DDS
Format: Article
Language:English
Subjects:
Dentistry
Esthetics
Humans
Models, Anatomic
Nose
Patient Satisfaction
Prostheses and Implants
Prosthesis Design
Silicone Elastomers - chemistry
Surgical Tape
Vacuum
Waxes - chemistry
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Summary:A technique for making a provisional nasal prosthesis for interim use after the ablation of a midface tumor is described. The technique is especially useful for the re-creation of a nasal form in an expedient and cost-effective manner. A preoperative definitive cast, or moulage, of the patient that includes a nasal form is used to fabricate a vacuum form of the midface. The vacuum form is evaluated on the patient, the extension is adjusted, and an external adhesive knit liner is applied to give the appearance of a contoured nasal bandage. The provisional nasal prosthesis is attached with medical adhesive tape and removed daily by the patient. The prosthesis is easily replaced during the course of treatment and has been found to be functional and esthetically acceptable to those patients receiving care from the Dental Service at Memorial Sloan Kettering Cancer Center.
ISSN:0022-3913
1097-6841
DOI:10.1016/j.prosdent.2014.06.018