Maxillofacial rehabilitation after rhinectomy using two different treatment options: clinical reports

Abstract

The aim of these clinical reports was to describe two different approaches to prosthetic rehabilitation after facial disfigurement because of a total rhinectomy. A man with a total rhinectomy was scheduled for craniofacial implants in the nasal residual defect. Three oral implants were used instead of craniofacial ones. A conventional framework was designed to connect the prosthesis to the implant abutments in the anterior nasal floor, and a custom-made ball attachment was positioned in the glabella abutment. A woman with a free rectum abdomis flap covering the defect of the middle face was scheduled for a nasal prosthesis. A titanium framework with a novel connection between the eyeglasses and the prosthesis was manufactured. The two clinical reports presented in this article illustrate favourable clinical treatment outcomes in the rehabilitation of disfigurement.