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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 silicone prosthesis
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Figure 9: Rehabilitation with silicone prosthesis

Mentions: The wax pattern with the master cast is then invested. When the flask is opened after dewaxing procedure, the eye shell is secured firmly to a single component of the flask. Room temperature vulcanization silicone (A-2186, Factor II incorporated) was packed into the mold with intrinsic stains. After curing, recover the prosthesis followed by extrinsic staining to match the skin colour and eyelashes were attached using patient's own hair. The extraoral silicone prosthesis was delivered to the patient after finishing and polishing. The retention of prosthesis was achieved using Daro Hydro Bond adhesive (Factor II incorporated) [Figure 9].


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

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

Figure 9: Rehabilitation with silicone prosthesis
Mentions: The wax pattern with the master cast is then invested. When the flask is opened after dewaxing procedure, the eye shell is secured firmly to a single component of the flask. Room temperature vulcanization silicone (A-2186, Factor II incorporated) was packed into the mold with intrinsic stains. After curing, recover the prosthesis followed by extrinsic staining to match the skin colour and eyelashes were attached using patient's own hair. The extraoral silicone prosthesis was delivered to the patient after finishing and polishing. The retention of prosthesis was achieved using Daro Hydro Bond adhesive (Factor II incorporated) [Figure 9].

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.