It not only renders patients unable to wear an eye prosthesis, bu

It not only renders patients unable to wear an eye prosthesis, but also becomes a source of chronic discharge AZD6244 and irritation. Orbital implants allow for cosmesis and volume replacement of an enucleated or eviscerated eye.

Alloplastic orbital implants are associated with potential complications, including exposure and extrusion. A dermis-fat graft offers the advantages of relative availability and an autologous nature. This article reports on a patient suffering from severe postenucleation socket syndrome after enucleation of the bulbus with postoperative irradiation of the orbit due to retinoblastoma and its subsequent management by a dermal-fat graft and ocular prosthesis. The purpose of this article is to emphasize the usefulness of dermal-fat grafting as a safe and stable orbital volume replacement following enucleation. “
“Orbital defects with total loss of eyelids and eyeball cannot be satisfactorily repaired by reconstructive surgery. Prosthetic replacement

is the treatment of choice owing to its acceptable lifelike appearance. The use of semiprecision attachments in maxillofacial prostheses is limited to osseointegrated prostheses. Therefore, this article describes a conventional glasses frame technique, to retain LY2835219 manufacturer the silicone orbital prosthesis using a Dalla Bona stud attachment. “
“In the event of the loss of an implant and to take advantage of the preexisting structures, a rescue procedure that allows continuous use of the original fixed restoration during the restoration of the tripod support at the implant level very can be used. When nonphysiological occlusion

forces are avoided, the success rate of this rescue procedure is very similar to any other rehabilitation made following a conventional protocol. Furthermore, the fact that the patient has already adapted to the prosthesis position and its vertical dimension results in easier functional adaptation in the postoperative period and, consequently, greater comfort. “
“Velopharyngeal incompetence is a contributing factor to speech disorders and implies the presence of hypernasality, inappropriate nasal escape, and decreased air pressure during speech. One prosthetic treatment is a rehabilitative procedure employing a palatal lift prosthesis (PLP), which reduces hypernasality by approximating the incompetent soft palate to the posterior pharyngeal wall and consists of two parts, the anterior denture base and the palatal lifting plate, which are connected with steel wires; however, it seems difficult to reproduce the mobility of the soft palate in speaking, and it is therefore likely that the palatal lifting plate stimulates or oppresses the tissue of the soft palate and hinders rather than assists articulatory function. To avoid these disturbances we devised an adjustable PLP with a flexible conjunction between the denture base and the palatal lifting plate to obtain the optimal vertical lifting angle.

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