Journal preview - Abstracts

A new watusi collar used in the treatment of neck burn hypertrophic scarring

Miss Yvonne Moore
Maxillofacial Prosthetist, Prosthetic Department, Glasgow Royal Infirmary G31 2ER

This paper outlines the construction of a new watusi collar for the management of neck burn hypertrophic scarring. The methodology described incorporates both pressure and silicone gel treatment modalities and provides an alternative treatment option to thermoplastic splints.

Ocular prosthetic services provided by UK regional
eye hospital; patients' aetiology and satisfaction

Hatamleh MM 1+2, Mojgan Abbariki 2, Andrea Morris 2, Louise Shorrocks 2

 

1 Maxillofacial department, Queens Medical Centre, Nottingham University Hospital Trust, Nottingham, UK
2 Ocularist, Department of Ocular Prosthetics, Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL

Statement of problem
Eye defects secondary to the treatment of neoplasms, congenital malformations and trauma can result in multiple functional and psychosocial difficulties. Prosthetic rehabilitation attempts to restore these disfigurements. A limited number of studies have evaluated patient satisfaction with prosthetic eye rehabilitation.

Purpose
To evaluate patient satisfaction with ocular prosthesis after evisceration or enucleation and to determine which variables were correlated to their satisfaction.

Methods
A satisfaction questionnaire was given to consecutive anophthalmic patients who visited Manchester Royal Eye Hospital from March 2011 through August 2011. Many variables such as age, gender, type of implant, pegging, and postoperative ocular symptoms were evaluated by correlation and multivariate analyses to find the determinants of patient satisfaction.

Results
The overall rate of satisfaction with ocular prostheses was 78%. The variables significantly correlated to patient satisfaction were economic status and other people's response.

Conclusion
Patient satisfaction with ocular prosthesis was relatively high.

Prosthetic rehabilitation following meningococcal septicaemia - A case report

Caroline Reed BSc (Hons) DPS AIMPT
Maxillofacial Laboratory, Queen Victoria Hospital Foundation Trust, Holtye Road, East Grinstead, West Sussex RH19 3DZ

This paper describes the fabrication of bi-lateral glove prostheses and shoe inserts for a 12-year-old girl following the amputation of nine toes due to meningococcal septicaemia.

The case was previously presented at the IMPT 25th Scientific Congress in Birmingham 2011.

Prosthetic rehabilitation of a completely reconstructed mandible by an implant-supported overdenture - A clinical report

Dr. Shantanu S Jambhekar
Dept of Prosthodontics, M A Rangoonwala College of Dental Sciences and Research Centre, Pune

 

Dr. Mohit G Kheur MDS
Dept of Prosthodontics, M A Rangoonwala College of Dental Sciences and Research Centre, Pune

 

Dr. Satyajit Dandagi MDS
Dept of Oral and Maxillofacial Surgery, M A Rangoonwala College of Dental Sciences and Research Centre, Pune

In recent years, many reports of jaw reconstruction using free vascularized flaps have been published. However, the literature does not report any total reconstruction of the mandible using a vascularised free fibula graft followed by prosthodontic rehabilitation.

The following case presents the prosthetic rehabilitation of a completely reconstructed mandible using an implant-supported overdenture.

Up-to-date status of craniofacial implants
- A literature review

Hatamleh MM 1+2, Jaradat E 2, Nawafleh N 2, Bibars A 2, Hourani Z 2, Watson J 1

 

1 Maxillofacial department, Queens Medical Centre, Nottingham University Hospital Trust, Nottingham, UK
2 Department of Applied Dental Science, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan

Craniofacial implants have evolved the practice of maxillofacial prosthetics by enhancing prosthesis design, aesthetics, retention and patient self-esteem. This review aims to analyse past papers reporting on the use of craniofacial implants as well as factors affecting implants success. Success and lifespan of implants varied with bone type, location, radiotherapy exposure and patient hygiene.

Implants inserted in the mastoid bone showed highest success rates followed by those inserted in the inferior nasal bone. Those inserted in the inferior orbital rim showed the lowest success due to low bone quality and quantity.

Radiotherapy compromised bone quality and vasculature, hence reducing implant-bone integration and subsequent livelihood of the implant. Hygiene and cleaning of the implant site and abutment is crucial to prevent implant thread exposure and bacterial adhesion, which could lead to implant failure.

Regardless of these factors, studies with shorter follow up periods generally reported higher success rates than those with longer follow up periods.

Use of a selective laser sintered model, surgical guides and pre-bent bone plates for correction of mandibular asymmetry in Goldenhar's syndrome – A case report

Anwer Abdullakutty BDS, MBChB, MFDSRCS, MRCS

Jeremy Collyer FDS, FRCS

Barry Edwards MIMPT MSc

Sarah Quinn MIMPT
Queen Victoria Hospital, Maxillofacial Department, Holtye Road, East Grinstead, West Sussex RH19 3DZ

This paper describes the use of a selective laser sintered model in the simulation of surgery and production of surgical guides and pre-bent bone plates to aid in a complex surgical case to improve severe mandibular asymmetry and non
functioning occlusion.