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毛霉菌病患者眼眶切除术后的假体修复

Prosthetic rehabilitation of resected orbit in a case of mucormycosis.

作者信息

Kaur Harsimran, Nanda Aditi, Verma Mahesh, Mutneja Parul, Koli Dheeraj, Bhardwaj Smiti

机构信息

Senior Research Associate, Maulana Azad Institute of Dental Sciences, New Delhi, India.

Director-Principal, Maulana Azad Institute of Dental Sciences, New Delhi, India.

出版信息

J Indian Prosthodont Soc. 2018 Oct-Dec;18(4):364-369. doi: 10.4103/jips.jips_53_18.

Abstract

The design of orbital prosthesis to rehabilitate patients with orbital exenteration depends on the underlying clinical condition, material chosen for prosthesis, method of retention of the prosthesis, and and preference of the patient. Rehabilitation of a patient with orbital exenteration due to mucormycosis has been described by fabricating a prosthesis that used polymethyl methacrylate (to fabricate a conformer) and silicone material (to fabricate prosthetic superstructure). The two-component prosthesis was designed to attain dual mechanical retention using an anatomic undercut (conformer) and manually created mechanical undercut (prosthetic superstructure). The objective was to maintain the biological health of the underlying postsurgical tissue, longevity of the prosthesis, optimal esthetics, and adequate retention.

摘要

用于眼眶内容剜除术后患者康复的眼眶假体设计取决于潜在的临床状况、假体选用的材料、假体的固位方法以及患者的偏好。通过制作一种使用聚甲基丙烯酸甲酯(制作贴合器)和硅酮材料(制作假体上部结构)的假体,已对因毛霉菌病导致眼眶内容剜除术后的患者康复情况进行了描述。这种双组分假体设计为利用解剖学倒凹(贴合器)和手动制作的机械倒凹(假体上部结构)实现双重机械固位。目的是维持术后下方组织的生物学健康、假体的使用寿命、最佳美观效果以及足够的固位力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d16/6180739/35b91a215370/JIPS-18-364-g001.jpg

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