Skip to main content
SpringerLink
Log in

Prosthetic Management of Post Surgical Nasal Skin Graft Contracture

  • Clinical Report
  • Published:
The Journal of Indian Prosthodontic Society

Abstract

The sequelae of trauma to the nose include nasal deformity and nasal obstruction that can have a long term negative impact on patient’s quality of life. Successful management of posttraumatic nasal obstruction relies on a detailed history, careful analysis, and accurate diagnosis. Treatment must balance the seemingly disparate goals of re-establishing structure, improving contour and esthetics, as well as restoring the nasal airway. Indications and technical steps for fabricating bilateral nasal stents are presented, for a case of surgical opening of bilateral nasal synechia necessitated due to failed initial corrective surgery, post contracture and collapse of skin grafts. The objective of nasal stent was to maintain patency of nasal passage post surgical intervention. This is achieved by support to graft and residual tissues and prevention of mouth breathing. The nasal stents were modified post insertion at regular intervals to ensure adaptation to changes in mucosal lining of nasal.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11

References

  1. Dorland Newman WA (2003) Dorland’s illustrated medical dictionary, 30th edn. St. Louis, Elsevier, p 1837

  2. Sharon-Buller A, Golender J, Savion I, Sela M (2003) Technique for fabrication of splint preventing post surgical restenosis in choanal atresia. J Prosthet Dent 90:301–303

    Article  PubMed  Google Scholar 

  3. Hickey AJ, Vergo TJ (2000) Prosthetic alternative treatment for choanal atresia: a clinical report. J Prosthet Dent 83:456–458

    Article  PubMed  Google Scholar 

  4. Converse JM (1997) Reconstructive plastic surgery, vol 2, 2nd edn. Saunders, Philadelphia

    Google Scholar 

  5. Ko SE, Fine L, Robinson JE (1980) Total rhinoplasty of prosthesis? J Prosthet Dent 44:74–76

    Article  PubMed  Google Scholar 

  6. Millard DR (1966) Total reconstructive rhinoplasty and a missing link. Plast Recontstr Surg 37:167–183

    Google Scholar 

  7. Parel SM (1980) Intranasal conformers. J Prosthet Dent 43(4):439–444

    Article  PubMed  Google Scholar 

  8. Wong F, Smith CR (2009) Surgical stent fabrication for unilateral nasal obstruction of the anterior portion of the nasal airway. J Prosthodont 18:272–275

    Article  PubMed  Google Scholar 

  9. Seals RR et al (1988) Intranasal prostheses, splint and stents. J Prosthet Dent 60(5):595–601

    Article  PubMed  Google Scholar 

  10. Savion I et al (2005) Constriction of a surgical stent for post traumatic nasal synechia. J Prosthet Dent 94:462–465

    Article  PubMed  Google Scholar 

  11. Casey DM, Schaaf NG (1997) Custom surgical stent for naris stenosis. Plast Reconstr Surg 100:108–114

    Article  PubMed  Google Scholar 

  12. Pasquini E, Sciarreta V, Saggese D et al (2003) Endoscopic treatment of congenital choanal atresia. Int J Pediatr Otorhinolaryngol 67:271–276

    Article  PubMed  Google Scholar 

  13. Schaefer KS, Taylor TD (1999) Treatment of nasopharyngeal stenosis with a conformer prosthesis: a clinical report. J Prosthet Dent 81:507–509

    Article  PubMed  Google Scholar 

  14. Zaki HS (1997) Prosthetic management of large nasal septal defects. J Prosthet Dent 77:335–338

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Prosthodontic unit, Department of Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

    Shitu Jindal, Atul Bhatnagar, Ankita Singh, Romesh Soni & B. P. Singh

Authors
  1. Shitu Jindal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Atul Bhatnagar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ankita Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Romesh Soni
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. B. P. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Romesh Soni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jindal, S., Bhatnagar, A., Singh, A. et al. Prosthetic Management of Post Surgical Nasal Skin Graft Contracture. J Indian Prosthodont Soc 13, 358–361 (2013). https://doi.org/10.1007/s13191-012-0166-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13191-012-0166-1

Keywords

Search

Navigation