Agarwal Meghna D, Dodamani Girija, Pungle Ashwini, Salunke Ashwini, Mistry Vini, Dodamani Arun, Gupta Seema
Department of Prosthodontics, Jawahar Medical Foundation's Annasaheb Chudaman Patil Memorial Dental College, Dhule, IND.
Department of Public Health Dentistry, Jawahar Medical Foundation's Annasaheb Chudaman Patil Memorial Dental College, Dhule, IND.
Cureus. 2025 Mar 27;17(3):e81283. doi: 10.7759/cureus.81283. eCollection 2025 Mar.
Ocular loss due to malignancies, trauma, or congenital anomalies can lead to significant aesthetic and psychological challenges. Orbital exenteration, a radical surgical procedure involving the removal of the eye and surrounding structures, leaves patients with severe facial deformities, impairing their self-esteem and social interactions. Prosthetic rehabilitation plays a vital role in restoring facial symmetry and improving the quality of life for such individuals. This case report presents the prosthetic rehabilitation of a 57-year-old male patient who underwent orbital exenteration due to squamous cell carcinoma. Despite undergoing surgery in 2009, the patient was not referred for a prosthetic solution at the time, leading to years of social withdrawal and psychological distress. Upon referral to the Department of Prosthodontics, various treatment options were discussed, and a custom silicone ocular prosthesis was chosen based on the patient's preference for an economical and non-invasive solution. The fabrication process involved a systematic approach, starting with primary and secondary impressions to accurately capture the anatomic contours of the defect. A wax pattern was created for trial fitting and aesthetic evaluation, ensuring a close match with the patient's natural eye. The final prosthesis was processed using room-temperature vulcanized silicone, which provided superior aesthetics, flexibility, and comfort. The prosthesis was designed to be retained using natural anatomical undercuts, eliminating the need for adhesives or external support. The patient exhibited significant psychological and social improvement following prosthesis insertion. The custom ocular prosthesis successfully restored facial aesthetics, improved self-confidence, and facilitated social reintegration. This case underscores the importance of early prosthetic referral and highlights the impact of a multidisciplinary approach in post-exenteration rehabilitation, ensuring optimal functional and aesthetic outcomes for patients with orbital defects.
因恶性肿瘤、外伤或先天性异常导致的眼球缺失会带来重大的美学和心理挑战。眼眶内容剜除术是一种根治性外科手术，涉及摘除眼球及周围结构，会使患者面部严重畸形，损害其自尊和社交互动。假体修复在恢复面部对称性和改善此类患者的生活质量方面起着至关重要的作用。本病例报告介绍了一名57岁男性患者的假体修复情况，该患者因鳞状细胞癌接受了眼眶内容剜除术。尽管患者在2009年接受了手术，但当时未被转介接受假体解决方案，导致多年的社交退缩和心理困扰。转诊至口腔修复科后，讨论了各种治疗方案，并根据患者对经济且无创解决方案的偏好选择了定制硅胶义眼。制作过程采用系统方法，首先进行初次和二次印模，以准确获取缺损的解剖轮廓。制作蜡型进行试戴和美学评估，确保与患者的自然眼睛紧密匹配。最终的假体采用室温硫化硅胶制作，具有出色的美学效果、柔韧性和舒适度。假体设计利用天然解剖倒凹进行固位，无需使用粘合剂或外部支撑。义眼植入后，患者在心理和社交方面有了显著改善。定制义眼成功恢复了面部美观，增强了自信心，并促进了社交重新融入。本病例强调了早期假体转诊的重要性，并突出了多学科方法在眼眶内容剜除术后康复中的影响，确保眼眶缺损患者获得最佳的功能和美学效果。
