Abstract
Orbital defects with total loss of eyelids and the eyeball cannot be satisfactorily repaired by reconstructive surgery. Therefore, a prosthetic placement is the treatment of choice to return the individual’s confidence by producing an acceptable and lifelike appearance. Male patient, 31 years old, came with history of exenteration surgery four months ago on right eye because of infection few years before. Patient wanted orbital prosthesis to improve esthetic and self-confidence. He lost his right eye ball and some part of right eyelid. Treatment of choice that would be fabricated was orbital prosthesis with medical adhesive retention support. Orbital prosthesis was one of the alternative that can be chose to reconstruct orbital defect. The success of the prosthesis was determined by the exactness of diagnosis, treatment plan determination, material selection, determination of prosthesis retention, and technique in processing the prosthesis.
Highlights
Orbital deformities commonly occur from oncological surgery, trauma, or congenital malformation, causing besides loss of vision, other significant restrictions which have a strong impact on the quality of life by negatively affecting aesthetic appearance and restricting social interactions [1]
Orbital defects with total loss of eyelids and the eyeball cannot be satisfactorily repaired by reconstructive surgery
The success of the prosthesis was determined by the exactness of diagnosis, treatment plan determination, material selection, determination of prosthesis retention, and technique in processing the prosthesis
Summary
Orbital deformities commonly occur from oncological surgery, trauma, or congenital malformation, causing besides loss of vision, other significant restrictions which have a strong impact on the quality of life by negatively affecting aesthetic appearance and restricting social interactions [1]. Prosthetic rehabilitation such as Orbital Prosthetic is an alternative treatment option to surgical reconstruction These prostheses mimic the patient’s missing structures and have acceptable aesthetic outlook. Unlike other areas of the face that can be adequately repaired by plastic surgery procedures, the orbital region still cannot be recovered by surgical techniques, since only cutaneous covering of extensive cavities can be achieved after tumor resections [1]. These prostheses were attached by means of rubber bands, glasses, or adhesives, but with the advent of osseointegration, there has been a great technical advancement in terms of adaptation, retention, and stability [1]. This article describes a simplified method for the fabrication of a silicone orbital prosthetics
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