Abstract
Purpose
This study describes a nose prosthetic rehabilitation using computer-aided design and manufacturing (CAD-CAM) technology after facial disfigurement because of a total rhinectomy.
Methods
A patient with a total rhinectomy was scheduled for a nasal prosthesis. Based on the 3-D model of the patient’s face reconstructed with the CT data, a four-piece mould for the nasal prosthesis was prototyped using a CAD-CAM procedure. Conventional silicone was processed with this physical mould to fabricate the definitive nasal prosthesis.
Results
A silicone nasal prosthesis was manufactured. The size, shape, and cosmetic look of the prosthesis were satisfactory and matched the nasal defect area well.
Conclusions
The protocol presented herein illustrates favorable clinical treatment outcomes in the prosthetic rehabilitation after a total rhinectomy by means of CAD-CAM technology.






References
Roumanas ED, Freymiller EG, Chang TL, Aghaloo T, Beumer J 3rd (2002) Implant-retained prostheses for facial defects: an up to 14-year follow-up report on the survival rates of implants at UCLA. Int J Prosthodont 15:325–332
Guttal SS, Patil NP, Shetye AD (2006) Prosthetic rehabilitation of a midfacial defect resulting from lethal midline granuloma—a clinical report. J Oral Rehabil 33:863–867
Fornelli RA, Fedok FG, Wilson EP, Rodman SM (2000) Squamous cell carcinoma of the anterior nasal cavity: a dual institution review. Otolaryngol Head Neck Surg 123:207–210
Ciocca L, Bacci G, Mingucci R, Scotti R (2009) CAD-CAM construction of a provisional nasal prosthesis after ablative tumour surgery of the nose: a pilot case report. Eur J Cancer Care (Engl) 18:97–101
Ciocca L, Fantini M, Marchetti C, Scotti R, Monaco C (2010) Immediate facial rehabilitation in cancer patients using CAD-CAM and rapid prototyping technology: a pilot study. Support Care Cancer 18:723–728
NaBadalung DP (2003) Prosthetic rehabilitation of a total rhinectomy patient resulting from squamous cell carcinoma of the nasal septum: a clinical report. J Prosthet Dent 89:234–238
Ciocca L, Maremonti P, Bianchi B, Scotti R (2007) Maxillofacial rehabilitation after rhinectomy using two different treatment options: clinical reports. J Oral Rehabil 34:311–315
Rodrigues S, Shenoy VK, Shenoy K (2005) Prosthetic rehabilitation of a patient after partial rhinectomy: a clinical report. J Prosthet Dent 93:125–128
Guttal SS, Vohra P, Pillai LK, Nadiger RK (2010) Interim prosthetic rehabilitation of a patient following partial rhinectomy: a clinical report. Eur J Dent 4:482–486
Seçilmiş A, Oztürk AN (2007) Nasal prosthesis rehabilitation after partial rhinectomy: a clinical report. Eur J Dent 1:115–118
Wu G, Zhou B, Bi Y, Zhao Y (2008) Selective laser sintering technology for customized fabrication of facial prostheses. J Prosthet Dent 100:56–60
Ciocca L, Fantini M, De Crescenzio F, Persiani F, Scotti R (2010) New protocol for construction of eyeglasses-supported provisional nasal prosthesis using CAD/CAM techniques. J Rehabil Res Dev 47:595–604
Ciocca L, De Crescenzio F, Fantini M, Scotti R (2010) Rehabilitation of the nose using CAD/CAM and rapid prototyping technology after ablative surgery of squamous cell carcinoma: a pilot clinical report. Int J Oral Maxillofac Implants 25:808–812
Jiao T, Zhang F, Huang X, Wang C (2004) Design and fabrication of auricular prostheses by CAD-CAM system. Int J Prosthodont 17:460–463
Zemnick C, Asher ES, Wood N, Piro JD (2006) Immediate nasal prosthetic rehabilitation following cytomegalovirus erosion: a clinical report. J Prosthet Dent 95:349–353
Ethunandan M, Downie I, Flood T (2010) Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience. Int J Oral Maxillofac Surg 39:343–349
Parel SM (1980) Diminishing dependence on adhesives for retention of facial prostheses. J Prosthet Dent 43:552–560
Sykes LM, Parrott AM, Owen CP, Snaddon DR (2004) Applications of rapid prototyping technology in maxillofacial prosthetics. Int J Prosthodont 17:454–459
Acknowledgments
This work was supported by the Shanghai Municipal Economic and Informatization Commission (Project Number: 0801031) and the National Natural Science Foundation of China (Project Number: 30901694).
Conflict of interest statement
Jing Qiu, Xiao-yu Gu, Yao-yang Xiong, Fu-qiang Zhang declare that they have no financial, professional, or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, the manuscript entitled “Nasal prosthesis rehabilitation using CAD-CAM technology after total rhinectomy: a pilot study”.
Author information
Authors and Affiliations
Corresponding author
Additional information
Jing Qiu and Xiao-yu Gu contributed equally to this work.
Rights and permissions
About this article
Cite this article
Qiu, J., Gu, Xy., Xiong, Yy. et al. Nasal prosthesis rehabilitation using CAD-CAM technology after total rhinectomy: a pilot study. Support Care Cancer 19, 1055–1059 (2011). https://doi.org/10.1007/s00520-011-1157-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00520-011-1157-1