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Prosthetic supply of facial defects: long-term experience and retrospective analysis on 99 patients

European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Introduction

Defects in the head region may be caused by tumour treatments, injuries, as well as congenital malformations. The restoration of these defects that can be performed through reconstructive plastic surgery and/or prosthetic surgery occupies a high priority in the physical and psychological rehabilitation of the patient. The present study reports on long-term experience in supply of facial prosthesis.

Materials and methods

The medical records of 99 patients, who had been supplied with custom-made facial prostheses between 2001 and 2011, were evaluated retrospectively.

Results

There were 59 male (60%) and 40 (40%) female patients. The reason for prosthetic supplement was a tumour disease in 50 patients, congenital malformation in 39 patients, and trauma in 10 patients. Fifty-three patients were treated with ear prosthesis, twenty-seven patients were treated with eye prosthesis, and nineteen patients with nasal prosthesis. 82.8% of prosthetic supplies were designed as magnetic support prostheses. The most common complication was skin redness around the implants. 10% of patients suffered the loss of the osseointegrated implants.

Conclusion

The osseointegrated titanium implants with magnet support provide a reliable attachment for prosthesis and constitute a promising alternative to surgical reconstruction of complex facial defects.

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Acknowledgements

The authors would like to acknowledge the valuable contribution made by native English speaker Victoria Feier in correcting this manuscript.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, University Medical Centre Homburg/Saar, University of Homburg, Kirnberger Straße, 66421, Homburg/saar, Germany

    Giorgos Papaspyrou, Cansel Yildiz, Victoria Bozzato, Dietmar Hecker, Bernhard Schick & Basel Al Kadah

  2. Department of Otorhinolaryngology-Head and Neck Surgery, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany

    Christopher Bohr

  3. Epithetic Institut Schneider, Zweibrücken, Germany

    Mathias Schneider

Authors
  1. Giorgos Papaspyrou
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  2. Cansel Yildiz
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  3. Victoria Bozzato
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  4. Christopher Bohr
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  5. Mathias Schneider
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  6. Dietmar Hecker
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  7. Bernhard Schick
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  8. Basel Al Kadah
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Corresponding author

Correspondence to Basel Al Kadah.

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Funding

This study was not funded.

Conflict of interest

Author Papaspyrou Giorgos declares that he has no conflict of interest. Author Yildiz Cansel declares that she has no conflict of interest. Author Bozzato Victoria declares that she has no conflict of interest. Author Bohr Christopher declares that he has no conflict of interest. Author Schneider Mathias declares that he has no conflict of interest. Author Hecker Dietmer declares that he has no conflict of interest. Author Schick Bernhard declares that he has no conflict of interest. Author Al Kadah Basel declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Papaspyrou, G., Yildiz, C., Bozzato, V. et al. Prosthetic supply of facial defects: long-term experience and retrospective analysis on 99 patients. Eur Arch Otorhinolaryngol 275, 607–613 (2018). https://doi.org/10.1007/s00405-017-4835-x

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  • DOI: https://doi.org/10.1007/s00405-017-4835-x

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