Guttal Satyabodh Sheshraj, Shanbhag Shruti, Kulkarni Sudhindra S, Thakur Srinath L
Department of Prosthodontics, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
Department of Oral Implantology, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
J Indian Prosthodont Soc. 2015 Jan-Mar;15(1):70-5. doi: 10.4103/0972-4052.155046.
Burns can leave a patient with a severely debilitating disability even after treatment. The objectives of burn rehabilitation are to minimize the adverse effects caused by the injury while rehabilitating the patient's physical and psychological well-being, maximizing social integration. Long-term success of maxillofacial prostheses mainly depends on the retention. Extra oral implant retained prostheses have proved to be a predictable treatment option for maxillofacial rehabilitation. Replacement of a severely deformed external ear with burned tissues may be satisfactorily accomplished by a cosmetic prosthesis anchored by implants integrated in the skull. The use of such implants is now a well-recognized method for creating a stable result in maxillofacial rehabilitation. This case report describes a safe, simple and economical method for the rehabilitation of a patient with missing right auricle using an implant supported silicone prosthesis. The implant was placed in the mastoid region of the temporal bone. Reconstruction of the ear was done with auricular silicone prosthesis, retained using magnets incorporated in an autopolymerizing resin shim to decrease the weight of the prosthesis on a single implant. This method eliminates the need of tedious laboratory procedures and exact casting and fitting requirements of a metal substructure while minimizing the overall weight and cost of the prosthesis while maintaining adequate support, esthetics and retention of the prosthesis.
即使经过治疗，烧伤仍可能给患者留下严重的致残性残疾。烧伤康复的目标是在恢复患者身心健康的同时，将损伤造成的不良影响降至最低，最大程度地促进社会融入。颌面修复体的长期成功主要取决于固位。口外种植体固位修复体已被证明是颌面康复的一种可预测的治疗选择。用植入物固定在颅骨上的美容修复体可以令人满意地完成用烧伤组织替换严重畸形的外耳。现在，使用这种植入物是在颌面康复中获得稳定效果的一种公认方法。本病例报告描述了一种安全、简单且经济的方法，用于使用种植体支持的硅胶修复体对一名右耳廓缺失患者进行康复治疗。种植体置于颞骨的乳突区。用耳廓硅胶修复体进行耳部重建，通过在自凝树脂垫片中加入磁体来固位，以减轻单个种植体上修复体的重量。这种方法无需繁琐的实验室操作以及金属基底结构精确的铸造和适配要求，同时在保持修复体足够的支撑、美观和固位的情况下，将修复体的整体重量和成本降至最低。
