Resident, Division of Prosthodontics and Crown & Bridge, Department of Dental Surgery & Oral Health Sciences, Armed Forces Medical College, Pune, India.
Associate Professor, Division of Prosthodontics and Crown & Bridge, Department of Dental Surgery & Oral Health Sciences, Armed Forces Medical College, Pune, India.
J Prosthet Dent. 2022 Apr;127(4):660-663. doi: 10.1016/j.prosdent.2020.09.052. Epub 2020 Dec 30.
Acid burn injuries in the midfacial region cause contracture of the skin and nasal aperture, which can lead to nasal airway obstruction. Management of such complicated situations requires a multidisciplinary approach, including prosthetic intervention. This article describes a clinical treatment for fabricating a custom nasal conformer for a 28-year-old man who presented with a history of an acid burn injury leading to obstructed external nares and fusion of the tip and columella of the nose with the philtrum of the upper lip. The prosthesis served the dual function of maintaining the nasal airway passage and preventing the contracture of the graft placed over the upper lip during reconstructive surgery.
面中部酸烧伤可导致皮肤和鼻口挛缩,从而导致鼻气道阻塞。此类复杂情况的处理需要多学科方法,包括假体干预。本文描述了为一名 28 岁男性制作定制鼻成形器的临床治疗方法,该患者因酸烧伤导致外鼻孔阻塞以及鼻尖和鼻小柱与上唇人中融合。该假体具有双重功能,既可以保持鼻气道通畅,又可以在重建手术中防止放置在上唇的移植物挛缩。