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

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.


Wax pattern
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4837766&req=5

Figure 8: Wax pattern

Mentions: The impression of the defect is made with light viscosity polyvinyl siloxane and supported with plaster of Paris. The cast is then retained, and the wax pattern is sculpted with care. The edge of the wax pattern is made thin to merge with the remnant surrounding soft tissue [Figure 8]. Recontouring of the wax segment that represented the palpebral fissure was done to attain a smooth convex surface. A prefabricated eye shell was selected which matched with the shade of the contralateral eye. The landmarks were determined to position the iris by making the patient look straight. During the trial, the wax pattern was placed into the patient's socket and modified as that of the contralateral eye.


Prosthetic rehabilitation of surgically treated orbital defects - evisceration, enucleation, and exenteration: A case series
Wax pattern
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: Wax pattern
Mentions: The impression of the defect is made with light viscosity polyvinyl siloxane and supported with plaster of Paris. The cast is then retained, and the wax pattern is sculpted with care. The edge of the wax pattern is made thin to merge with the remnant surrounding soft tissue [Figure 8]. Recontouring of the wax segment that represented the palpebral fissure was done to attain a smooth convex surface. A prefabricated eye shell was selected which matched with the shade of the contralateral eye. The landmarks were determined to position the iris by making the patient look straight. During the trial, the wax pattern was placed into the patient's socket and modified as that of the contralateral eye.

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.