Yanık Hastalarının İmplant Destekli Maksillofasial Protezlerle Rekonstrüksiyonu: İki Olgu Sunumu

Abstract

Surgical reconstruction of facial structures of burned patients remains one of the most difficult areas of plastic surgery, and the esthetic results are not always acceptable. Implant-retained maxillofacial prostheses are an alternative treatment to surgical reconstruction for patients who lost facial structures from burn. This article describes fabrication of an implant-retained auricular prosthesis and a nasal prosthesis for two burned patients and represents treatment outcomes. Extraoral implants were placed in the defect sites. After a 3-month osseointegration period, abutments were connected to the implants at stage 2 surgery. Retention was obtained with bar-clips attachment for auricular prosthesis and magnetic attachment for nasal prosthesis. The prostheses were fabricated from silicone. After prosthetic reconstruction, clinical follow-ups were performed every six months. The implant-retained prosthetic rehabilitation of the burned patients discussed in this article resulted in acceptable functional and cosmetic results.