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1.
Oral Maxillofac Surg Clin North Am ; 35(1): 127-137, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36336595

RESUMO

While primary cleft lip nasal deformity has been well described, secondary cleft lip nasal deformity reflects the combination of residual deformity that follows primary operative maneuvers and growth-related nasal distortions. Secondary cleft lip nasal deformities are further associated with underlying skeletal and dentofacial abnormalities along with soft tissue constriction adding to the complexity of the deformity and posing major aesthetic and functional challenges to the multidisciplinary care team. Definitive rhinoplasties are performed to address these deformities and improve the quality of life in cleft patients following skeletal maturity and ideally after all underlying skeletal discrepancies have been corrected by orthognathic surgery. Maxillary advancement with or without mandibular setback is often required after careful planning and orthodontic preparation. Patients with cleft lip benefit tremendously from definitive rhinoplasty irrespective of inevitable residual discrepancies that remain and adjuvant therapies could enhance the overall outcome.


Assuntos
Fenda Labial , Fissura Palatina , Cirurgia Ortognática , Rinoplastia , Humanos , Fenda Labial/cirurgia , Qualidade de Vida , Estética Dentária , Nariz/cirurgia , Nariz/anormalidades , Palato/cirurgia , Fissura Palatina/cirurgia
2.
Clin Plast Surg ; 50(1): 133-140, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36396252

RESUMO

To explore a pyriform aperture augmentation method that is suitable for Asian patients with mid-face concavity, we designed a novel prosthesis to perform pyriform aperture augmentation. Three different rhinoplasty schemes are designed according to the degree of mid-face concavity: (1) simple implantation around the pyriform aperture, (2) implantation around the pyriform aperture and augmentation rhinoplasty is performed concurrently, and (3) implantation around pyriform aperture combined with nasal extension technique. Comprehensive rhinoplasty with pyriform aperture augmentation can substantially improve the aesthetic relationship between nasal and facial areas. This technique is suitable for comprehensive rhinoplasty of Asian patients with mid-face concavity.


Assuntos
Rinoplastia , Humanos , Rinoplastia/métodos , Nariz/cirurgia , Asiáticos , Próteses e Implantes
3.
Facial Plast Surg Clin North Am ; 31(1): 119-129, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36396282

RESUMO

The subdorsal cantilever graft (SDCG) is a costal cartilage graft that is positioned below the nasal dorsum to control the position of the nasal bones and middle nasal vault. SDCG type A is used to raise the middle nasal vault and caudal nasal bones to correct the saddle nose deformity. SDCG type B can be used to raise the entire dorsum of the nose (radix, bony vault, and middle vault) in the ethnic augmentation rhinoplasty patient. This article will discuss the indications and technique of the SDCG in dorsal preservation rhinoplasty.


Assuntos
Cartilagem Costal , Deformidades Adquiridas Nasais , Rinoplastia , Humanos , Resultado do Tratamento , Rinoplastia/métodos , Deformidades Adquiridas Nasais/cirurgia , Nariz/cirurgia , Cartilagem Costal/transplante
4.
Facial Plast Surg Clin North Am ; 31(1): 131-142, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36396284

RESUMO

Brazil has always been a fertile place for plastic surgery techniques, especially cosmetic, and it was not different in rhinoplasty. In Brazil surgeons started using the dorsal preservation rhinoplasty in the 1970s. Techniques have changed, the problems and contraindications were challenged, and solutions proposed. As a result, indications were expanded to almost every kind of nose. Surface working executed with power tools, such as the piezoelectric device and the power drill, complemented the techniques and allowed for refinement in execution. Today the Brazilian preservation techniques are adopted and improved by many surgeons around the world.


Assuntos
Rinoplastia , Humanos , Brasil , Rinoplastia/métodos , Nariz/cirurgia
5.
Facial Plast Surg Clin North Am ; 31(1): 143-154, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36396285

RESUMO

Ultrasonic rhinoplasty and ultrasonic septoplasty reshape the nasal bones using piezoelectric instruments specifically developed for these operations. They allow the realization of precise osteotomies under direct visual control after having performed first an open or closed extended approach, but also ostectomies and rhinosculpture. Piezoelectric instruments preserve bone stability by not damaging bone support structures and avoiding unwanted fractures. They allow precise control of nasal bone movements, their orientation, and their final position. The different inserts of ultrasonic rhinoplasty and ultrasonic septoplasty are detailed, with their scope of action. The applications to dorsum preservation and structural remodeling of dorsum are presented.


Assuntos
Rinoplastia , Humanos , Ultrassom , Nariz/cirurgia , Osso Nasal , Osteotomia
6.
Facial Plast Surg Clin North Am ; 31(1): 25-43, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36396287

RESUMO

Preservation rhinoplasty entails the preservation of the supportive ligaments, preservation of the cartilage structure, and preserving the anatomy of the nasal dorsum. The preservation methods I use are described in this article.


Assuntos
Rinoplastia , Humanos , Rinoplastia/métodos , Nariz/cirurgia , Ligamentos/cirurgia
7.
J Craniofac Surg ; 33(8): 2406-2410, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36409865

RESUMO

BACKGROUND: Primary rhinoplasty (PR)at the time of cleft lip repair is controversial. We previously performed a systematic review that supported PR during unilateral cleft lip repair. We now aim to determine whether the same idea translates to care of patients with bilateral cleft lip. METHODS: A systematic review was conducted adhering to Preferred Reporting Items for Systematic Reviews and Meta-analysis statement guidelines. PubMed and Embase databases were searched for studies that met our inclusion criteria: (1) English language, (2) human subjects, (3) rhinoplasty at the time of bilateral cleft lip repair, and (4) evaluation of nasal outcome. Studies were excluded in case of: (1) inclusion of a large proportion of syndromic patients, (2) case reports, (3) editorials, (4) letters, (5) reviews, and (6) exclusive to unilateral clefts. Out of 281 studies that showed up on initial search, 12 were included in our review. Research quality and level of evidence rating were determined for each study. RESULTS: Of the 12 included studies, 9 supported PR at the time of bilateral cleft lip repair; 8 studies evaluated nasal growth and found no restriction over time; 4 studies followed 158 patients to an average of 15 years and showed 77% did not need secondary rhinoplasty. CONCLUSION: Although the available literature supports PR in patients with bilateral cleft lip with respect to subjective and objective outcomes, nasal growth, and reducing the need for secondary/revision rhinoplasty, there are significant limitations, necessitating large volume studies.


Assuntos
Fenda Labial , Rinoplastia , Humanos , Fenda Labial/cirurgia , Rinoplastia/métodos , Nariz/cirurgia , Reoperação , Bases de Dados Factuais
10.
Cutis ; 110(2): 86-87, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36219643

RESUMO

Nonmelanoma skin cancer is the most common cancer, typically growing in sun-exposed areas, such as the nose. After complete excision of the tumor, the subsequent scar may exhibit multiple complications that are easily noticeable and cosmetically unsatisfactory. When performing a revision of such a scar, using a single surgical technique may be insufficient; rather, the surgeon may need to carefully plan and utilize several techniques to achieve the best cosmetic outcome. Here, we report a case that demonstrates successful use of surgical defatting and Z-plasty techniques to revise a scar of the nasal dorsum that exhibited pincushioning and webbing.


Assuntos
Procedimentos Cirúrgicos Reconstrutivos , Neoplasias Cutâneas , Cicatriz/etiologia , Cicatriz/cirurgia , Humanos , Nariz/cirurgia , Procedimentos Cirúrgicos Reconstrutivos/métodos , Neoplasias Cutâneas/complicações , Neoplasias Cutâneas/cirurgia
11.
Facial Plast Surg ; 38(4): 347-352, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36270288

RESUMO

Nasal airway obstruction is a common presenting complaint to otolaryngology clinics, with the internal valve a commonly implicated anatomic area of obstruction. The nasal butterfly graft is a robust technique to address this subsite with good reported functional and aesthetic outcomes in both primary and secondary rhinoplasty. We describe our approach to patient evaluation, surgical candidate selection, operative technique, and outcomes assessment for this technique.


Assuntos
Obstrução Nasal , Rinoplastia , Humanos , Estética Dentária , Obstrução Nasal/etiologia , Obstrução Nasal/cirurgia , Rinoplastia/métodos , Nariz/cirurgia , Septo Nasal/cirurgia
12.
J Plast Reconstr Aesthet Surg ; 75(11): 4304-4311, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36229315

RESUMO

BACKGROUND: In the rhinoplasty of Asian short nose deformity, the surgeon cuts a portion of septal cartilage and retains the nasal septum L-strut, but a deviated nasal septum is formed after the surgery under forces of soft tissue contracture. Although various autologous grafts are used to reinforce the L-strut, there is a lack of objective "mechanical theory" to support the clinical findings in other studies at the present time. METHODS: A simplified and geometrical finite element model of L-strut reinforced with clinically common materials, including auricular cartilage, nasal septal cartilage, and perpendicular plate of ethmoid, was established. Simulating the mechanical environment of nasal tip in reality, when the force was loaded, the von Mises stress and directional deformation of the L-strut were observed under different widths. Kruskal-Wallis test was used to examine the significance of intergroup differences of L-strut, and P < 0.05 indicated statistical significance. RESULTS: All autologous grafts decreased the maximum directional deformation of L-strut, and the variance of nasal tip displacement was reduced; the perpendicular plate of ethmoid showed a distinct effect. The increasing width of the L-strut reduced the maximum displacement of the nasal tip, but the influence of using grafts as a reinforcement to the L-strut was much greater than the residual width (p = 0.003). CONCLUSION: The graft reinforcement significantly increased the stability of the L-strut, which enhanced the resistance to deformation in the long-term action of tension, and the effect of the perpendicular plate of ethmoid to reinforce was significantly better than that of auricular and nasal septal cartilage.


Assuntos
Doenças Nasais , Rinoplastia , Humanos , Análise de Elementos Finitos , Osso Etmoide/transplante , Septo Nasal/cirurgia , Cartilagens Nasais/cirurgia , Nariz/cirurgia , Doenças Nasais/cirurgia
13.
J Plast Reconstr Aesthet Surg ; 75(12): 4478-4483, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36229313

RESUMO

PURPOSE: Accessory columellas are rare congenital anomalies characterized by skin appendage in the columella of the nostril. Case reports are scattered, but there are few descriptions about the clinical features and surgical course. METHOD: In this study, 3 patients with 4 lesions were identified (2013-2020). They were morphologically classified, and the accompanying nose deformity, surgical procedure, and postoperative course were examined. RESULTS: According to the morphologic classification, 1 lesion was of the sessile-lobed type, 2 lesions were of the sessile-nodular type, and 1 lesion was of the pedunculated-ovoid type. In terms of accompanying nose deformities, 1 lesion had a wide nasal columella, and 1 lesion had an enlarged left nostril due to a depression at the base of the lesion. Simple ablations were performed in 2 of the lesions, and plastic procedures were performed in the 2 lesions with an accompanying nose deformity. CONCLUSION: As in our cases, accessory columellas may have a variety of appearances and accompanying deformities. The surgical procedure must be considered according to the case. In addition, any changes due to growth must be observed and taken into consideration when they are reoperated.


Assuntos
Fenda Labial , Doenças Nasais , Procedimentos Cirúrgicos Reconstrutivos , Rinoplastia , Humanos , Rinoplastia/métodos , Fenda Labial/cirurgia , Nariz/cirurgia , Nariz/anormalidades , Septo Nasal/cirurgia , Doenças Nasais/cirurgia , Procedimentos Cirúrgicos Reconstrutivos/métodos
14.
Orthod Fr ; 93(3): 267-282, 2022 09 01.
Artigo em Francês | MEDLINE | ID: mdl-36217586

RESUMO

Introduction: The aim of this study was to analyze the skeletal, dental and airway changes with endoscopically assisted surgical expansion (EASE) to widen the nasomaxillary complex for the treatment of sleep apnea in adults. Methods: One hundred and five consecutive patients underwent EASE. Cone beam computed tomography (CBCT) was conducted preoperatively and within four weeks after the completion of the expansion process. Computational fluid dynamic (CFD) analysis was performed on 20 randomly selected patients to assess airway flow changes. Results: One hundred patients (67 males) with the mean age of 35.0±13.5 years (17-64 years) had completed pre- and post-expansion imaging. Ninety-six patients (96%) had successful expansion defined as separation of the midpalatal suture at least 1 mm from anterior nasal spine (ANS) to posterior nasal spine (PNS). The nasal cavity expansion was 3.12±1.11 mm at ANS, 3.64±1.06 mm at first molar and 2.39±1.15 mm at PNS. The zygoma expansion was 2.17±1.11 mm. The ratio of dental expansion to skeletal expansion was 1.23:1 (3.83 mm:3.12 mm) at canine and 1.31:1 (4.77 mm:3.64 mm) at first molar. CFD airway simulation showed a dynamic change following expansion throughout the airway. The mean negative pressure improved in the nasal airway (from -395.5±721.0 to -32.7±19.2 Pa), nasopharyngal airway (from -394.2±719.4 to -33.6±18.5 Pa), oropharyngeal airway (from -405.9±710.8 to -39.4±19.3 Pa) and hypopharyngeal airway (from -422.6±704.9 to -55.1±33.7 Pa). The mean airflow velocity within the nasal airway decreased from 18.8±15.9 to 7.6±2.0 m/s and the oropharyngeal airway decreased from 4.2±2.9 to 3.2±1.2 m/s. The velocity did not change significantly in the nasopharyngeal and hypopharyngeal regions. Conclusions: EASE results in expansion of the midpalatal suture from the ANS to PNS with a nearly pure skeletal movement of minimal dental effect. The expansion of the nasomaxillary complex resulted in the widening of the nasal sidewall throughout the nasal cavity. The improved air flow dynamics was demonstrated by CFD simulation.


Introduction: L'objectif de cette étude était d'analyser les modifications obtenues au niveau du squelette, des dents et des voies respiratoires lors d'une expansion nasomaxillaire chirurgicale assistée par endoscopie (EASE), visant à élargir le complexe nasomaxillaire pour le traitement de l'apnée du sommeil chez des adultes. Méthodes: Cent cinq patients consécutifs ont subi une EASE. Une tomographie à faisceau conique (CBCT) a été réalisée en préopératoire et dans les quatre semaines suivant la fin du processus d'expansion. Une analyse de la dynamique des fluides computationnelle (DFC) a été réalisée sur vingt patients sélectionnés au hasard pour évaluer les modifications du débit de leurs voies respiratoires. Résultats: Un bilan d'imagerie pré- et post-expansion a été réalisé chez cent patients (dont 67 hommes) d'un âge moyen de 35,0 ± 13,5 ans (17-64 ans). Quatre-vingt-seize patients (96 %) ont bénéficié d'une expansion réussie, définie comme une séparation de la suture médiopalatine d'au moins 1 mm, de l'épine nasale antérieure (ENA) à l'épine nasale postérieure (ENP). L'expansion de la cavité nasale était de 3,12 ± 1,11 mm au niveau de l'ENA, de 3,64 ± 1,06 mm au niveau de la première molaire et de 2,39 ± 1,15 mm au niveau de l'ENP. L'expansion zygomatique était de 2,17 ± 1,11 mm. Le rapport entre l'expansion dentaire et l'expansion squelettique était de 1,23 : 1 (3,83 mm : 3,12 mm) au niveau de la canine et de 1,31 : 1 (4,77 mm : 3,64 mm) au niveau de la première molaire. Après l'expansion, la simulation des voies respiratoires par DFC a montré un changement dynamique au niveau de l'ensemble des voies respiratoires. La pression négative moyenne s'est améliorée dans les voies nasales (de -395,5 ± 721,0 à -32,7 ± 19,2 Pa), les voies nasopharyngiennes (de -394,2 ± 719,4 à -33,6 ± 18,5 Pa), les voies aériennes oropharyngées (de -405,9 ± 710,8 à -39,4 ± 19,3 Pa) et les voies aériennes hypopharyngées (de -422,6 ± 704,9 à -55,1 ± 33,7 Pa). La vitesse moyenne du flux d'air dans les voies nasales a diminué de 18,8 ± 15,9 à 7,6 ± 2,0 m/s et de 4,2 ± 2,9 à 3,2 ± 1,2 m/s dans les voies oropharyngées. La vitesse n'a pas changé de manière significative dans les régions nasopharyngienne et hypopharyngienne. Conclusions: L'EASE entraîne une expansion de la suture médiopalatine, de l'ENA jusqu'à l'ENP avec un mouvement squelettique presque pur et un effet dentaire minimal. L'expansion du complexe nasomaxillaire a entraîné l'écartement des parois nasales latérales dans toute la cavité nasale. L'amélioration de la dynamique du flux d'air a été démontrée par une simulation DFC.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Técnica de Expansão Palatina , Tomografia Computadorizada de Feixe Cônico/métodos , Humanos , Masculino , Maxila/cirurgia , Dente Molar , Cavidade Nasal/diagnóstico por imagem , Cavidade Nasal/cirurgia , Nariz/cirurgia
15.
Artigo em Chinês | MEDLINE | ID: mdl-36217652

RESUMO

Objective:To evaluate the efficacy of 3D printed nasal vestibular support on the recovery of nasal ventilation function and nostril shape after nostril stenosis treatment. Methods:Thirty-eight patients with unilateral traumatic nasal vestibular stenosis were selected and treated with 3D printed nasal vestibular support after operation. Subjective evaluation indicators, objective nostril local morphological and structural parameters, and nasal airflow dynamics parameters by numerical simulation were used. To evaluate the nostril morphological and nasal functional recovery after treatment. Results:The subjective nasal congestion and nostril symmetry satisfaction VAS scores of the patients after nasal vestibular support treatment were improved to varying degrees compared with those before surgery; The nostril morphological parameters showed that the Δlong-axis ratio and Δ î€Œshort-axis ratio were significantly decreased after nasal vestibular support therapy (0.09±0.09 and 0.16±0.13) compared with those before surgery(0.21±0.20 and 0.28±0.21) respectively(P<0.01). And the cross-sectional area of the nasal valve on the stenotic side nasal cavity increased from(0.40±0.27) cm² before operation to (0.71±0.26) cm² after treatment(P<0.01); The nasal resistance on the stenosis side nasal cavity also decreased from (0.036±0.024) Pa·s/mL before operation to (0.022±0.008) Pa. s/mL after treatment(P<0.01), and the total nasal resistance was decreased from (0.033±0.02) Pas/mL before operation to (0.021±0.007)Pa. s/mL after treatment(P<0.01) ; It also showed that NWE(nasal warming efficiency) and NHE(nasal humidification efficiency) on the stenotic side nasal cavity were significantly decreased after nasal vestibular support therapy([95.92±2.8]% and [94.55±4.17]%) compared with those before surgery ([97.94±1.97 ]% and [96.19±2.94]%) respectively(P<0.01). Conclusion:The 3D printed nasal vestibular support for postoperative support treatment on patients with anterior nostril stenosis can reflect the advantages of personalized treatment and allow patients to obtain satisfactory results, and the use of individually designed 3D printed nasal vestibular support can make the shape of anterior nostrils and nasal cavity normal ventilation function recover well, its clinical application prospect is worth looking forward to.


Assuntos
Doenças Nasais , Rinoplastia , Constrição Patológica/cirurgia , Humanos , Cavidade Nasal/cirurgia , Nariz/cirurgia , Impressão Tridimensional , Rinoplastia/métodos
16.
HNO ; 70(10): 751-755, 2022 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-36129487

RESUMO

Isolated nasal bone fractures are the most common injuries of the central midface. They can be divided into different fracture types, depending on the exposure and orientation of violence. It is essential to ensure that there is no septal hematoma or abscess, which would require an emergency surgical intervention. A closed reposition can be offered if misalignment of the nose can still be observed after the edema swelling has gone down. In case of insufficient aesthetic and functional results, rhinoplasty/septal reconstruction can be performed 6 to 12 months after the trauma at the earliest. In children the, the decision for repositioning should be taken carefully in order to protect the nasal growing zone.


Assuntos
Doenças Nasais , Rinoplastia , Traumatologia , Abscesso/cirurgia , Criança , Humanos , Osso Nasal/cirurgia , Septo Nasal/cirurgia , Nariz/cirurgia , Rinoplastia/métodos
17.
Sultan Qaboos Univ Med J ; 22(3): 387-392, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36072078

RESUMO

Objectives: This study aimed to report the authors' experience with the anatomical subunit technique for unilateral cleft lip repair, which has gained popularity worldwide. Methods: From July 2015 to April 2020, 114 consecutive cases of cleft lip underwent primary cleft lip repair with closed rhinoplasty by a single surgeon. The demographic data, severity and type of the cleft lip, surgical outcomes, including vermillion notching, were assessed by an independent senior surgeon. The rate of revision surgery was collected from the Al-Shifa® - 3Plus healthcare information system (Ministry of Health, Oman). Parents' satisfaction regarding scar quality and lip and nose appearance was collected and all data were statistically analysed. Results: A total of 82 cases satisfied the inclusion criteria. The mean age at surgery for cleft lip was 32 weeks. Among these, 35 cases (43%) were complete cleft lips and 47 cases (57%) were incomplete. Additionally, 43 children (52%) were born of consanguineous marriage. Six patients (7%) needed revision surgery. The digital survey was completed by 40 subjects (response rate: 48.8%) which showed 85% satisfaction rate with the postoperative scar and 77.5% satisfaction with the aesthetic appearance of the nose. Conclusion: The anatomical subunit technique resulted in a predictable outcome indicating a high rate of patient satisfaction with scar quality and nasal and lip symmetry in children with varying severity of cleft lip. The high percentage of consanguinity (52%) in this study highlights the need for more targeted national campaigns involving premarital counselling in the Omani population.


Assuntos
Fenda Labial , Procedimentos Cirúrgicos Reconstrutivos , Criança , Cicatriz/cirurgia , Fenda Labial/cirurgia , Humanos , Nariz/cirurgia , Satisfação do Paciente
18.
Medicine (Baltimore) ; 101(35): e30300, 2022 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-36107523

RESUMO

INTRODUCTION: Saddle nose deformities are typically reconstructed with cartilage grafts; however, conchal cartilage grafts are and associated with a risk of damage to the posterior auricular ligament and insufficient amounts, and costal cartilage grafts require invasive surgery under general anesthesia. We proposed a double-layer dermofat graft as an alternative to these methods. PATIENT CONCERNS: Two patients with type IV saddle nose deformity underwent reconstruction with nasal augmentation with a double-layer dermofat graft harvested from the gluteal sulcus. DIAGNOSIS: After operation, photogrammetric analysis demonstrated an improvement in the dorsal depression area, which corresponded to the angle between the sellion, most depressed point, and pronasale. Rhinoplasty Outcome Evaluation questionnaire was assessed. INTERVENTIONS: The graft was divided into 2 sections; the first section was implanted transversely into the depressed nasal framework, and the second section was inserted vertically from the nasion to the supratip break for augmentation. OUTCOMES: Both patients reported high satisfaction with the Rhinoplasty Outcome Evaluation questionnaire. The mean preoperative angle between the sellion, most depressed point, and pronasale was 157.8°, and the mean postoperative angle at 6 months was 176.9°. CONCLUSION: The simple method double-layer dermofat graft technique demonstrated excellent outcomes in saddle nose deformity correction, did not require cartilage, and was easily performed under local anesthesia.


Assuntos
Cartilagem Costal , Deformidades Adquiridas Nasais , Rinoplastia , Cartilagem/transplante , Cartilagem Costal/transplante , Humanos , Nariz/cirurgia , Deformidades Adquiridas Nasais/etiologia , Deformidades Adquiridas Nasais/cirurgia , Rinoplastia/métodos
19.
J Craniofac Surg ; 33(7): e762-e764, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36100965

RESUMO

Maxillofacial prosthesis is an effective treatment for patients with facial sequelae, but it remains challenging for professionals due to its high esthetic complexity. This study describes a clinical case of successful nasal prosthetic rehabilitation using digital technology and additive manufacturing. Initially, the 76-year-old patient, with a facial defect in the nasal region, had her face scanned with 3-dimensional scanner for laboratory planning of the prototype of a nasal prosthesis. After approving the prototype image, working models in muffle shape were obtained in additive manufacture for the inclusion of the prosthesis. In the final session, the prosthesis was colored extrinsically and installed. The procedures digital in the manufacture of the facial prosthesis was applicable and agile, allowing the professional greater predictability regarding the shape of the rehabilitated organ, esthetic improvement in the mutilated area and patient satisfaction in relation to the speed, of the procedure and the quality of the prosthesis.


Assuntos
Implantes Dentários , Prótese Maxilofacial , Idoso , Desenho Assistido por Computador , Estética Dentária , Feminino , Humanos , Nariz/cirurgia , Desenho de Prótese
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