Closed-eye orbital prosthesis: A clinical report
Section snippets
Clinical Report
A 63-year-old man was referred to the reconstructive clinic at the Maxillofacial Unit of Queens Medical Center in Nottingham, UK, for the fabrication of an orbital prosthesis. After being diagnosed with a right maxillary squamous cell carcinoma, he underwent an extended right orbit exenteration that included part of the right cheek and a partial maxillectomy (Fig. 1A). The patient had received no radiotherapy after his primary surgery, and the site had healed well with no complications. After
Discussion
Eyes are generally the first features of the face to be noticed. A person in need of an ocular prosthesis may have lost or damaged his or her natural eye as a result of trauma, malignancy, or congenital absence.15 Each of these etiologies leaves its own physical characteristics and psychological traits; they can all be seen as traumatic outcomes for the patient. For example, removal after a diagnosis of malignancy brings with it the constant fear of recurrence. Common to them all, however, is
Conclusion
Orbital prostheses are challenging for both the practitioner and patient. Reproducing the expression, character, and personality of the patient present in the contralateral eye is almost impossible. This clinical treatment used an original approach of making a closed eye prosthesis that restored esthetics, simplified manufacture, and provided a compromise that was acceptable to the patient.
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