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Prosthetic rehabilitation of surgically treated orbital defects - evisceration, enucleation, and exenteration: A case series

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ABSTRACT

The rehabilitation of a patient who has suffered the psychological trauma due to loss of an eye requires a prosthesis that will provide the optimum cosmetic and functional result. The mode of rehabilitation varies based on the type of defect and surgical approach being adopted. A case series of prosthetic rehabilitation of three types of orbital defects - evisceration, enucleation and exenteration have been reported in this article. The clinical relevance of surgical approaches highlights the preservation of remaining anatomic structures creating a negative space or concavity to aid in future prosthetic rehabilitation. A multidisciplinary management and team approach is essential in providing esthetics and to regain the confidence. Follow-up care for the patient is mandatory.

No MeSH data available.


Rehabilitation with intraoral acrylic prosthesis
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Figure 6: Rehabilitation with intraoral acrylic prosthesis

Mentions: The custom tray was fabricated and impression made with light body polyvinyl siloxane impression material (Aquasil, Dentsply) because of its accuracy in capturing surface details and dimensional stability [Figure 4]. The material was injected slowly into the socket and patient was asked to perform various eye movements to facilitate the flow of impression material into all aspects of the socket. Master cast was poured and wax pattern fabricated with the eye shell in position on the outer surface. After dewaxing heat cure acrylic packed. Prosthesis recovered after curing; finishing and polishing done to deliver it to the patient [Figures 5 and 6].


Prosthetic rehabilitation of surgically treated orbital defects - evisceration, enucleation, and exenteration: A case series
Rehabilitation with intraoral acrylic prosthesis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4837766&req=5

Figure 6: Rehabilitation with intraoral acrylic prosthesis
Mentions: The custom tray was fabricated and impression made with light body polyvinyl siloxane impression material (Aquasil, Dentsply) because of its accuracy in capturing surface details and dimensional stability [Figure 4]. The material was injected slowly into the socket and patient was asked to perform various eye movements to facilitate the flow of impression material into all aspects of the socket. Master cast was poured and wax pattern fabricated with the eye shell in position on the outer surface. After dewaxing heat cure acrylic packed. Prosthesis recovered after curing; finishing and polishing done to deliver it to the patient [Figures 5 and 6].

View Article: PubMed Central - PubMed

ABSTRACT

The rehabilitation of a patient who has suffered the psychological trauma due to loss of an eye requires a prosthesis that will provide the optimum cosmetic and functional result. The mode of rehabilitation varies based on the type of defect and surgical approach being adopted. A case series of prosthetic rehabilitation of three types of orbital defects - evisceration, enucleation and exenteration have been reported in this article. The clinical relevance of surgical approaches highlights the preservation of remaining anatomic structures creating a negative space or concavity to aid in future prosthetic rehabilitation. A multidisciplinary management and team approach is essential in providing esthetics and to regain the confidence. Follow-up care for the patient is mandatory.

No MeSH data available.