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Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience.
Int J Oral Maxillofac Surg. 2010 Apr; 39(4):343-9.IJ

Abstract

The authors report their experience with 34 patients who had large full thickness nasal defects reconstructed with an implant-retained prosthesis. Their technique of modifying post-rhinectomy defects is described and factors influencing implant success are evaluated. 111 implants were placed to retain a nasal prosthesis. Age, sex and tumour histology did not affect the outcome. Smoking, extent of rhinectomy, use of radiotherapy (pre- and post-implant), hyperbaric oxygen, length and location of the implant and type of retention (bar/magnets) influenced implant success. The overall success rate was 89% (99/111); 94% in patients who did not receive radiotherapy and 86% in those who did. The prosthesis was in place in all patients (100%) at the time of last follow up. Post-rhinectomy defect modification enables adequate access for safe placement of long implants with good primary stability and helps the maintenance of good hygiene (further enhanced by the use of skin grafts). The authors think implant-retained prosthesis is a reliable option for reconstructing large full thickness rhinectomy defects. They suggest their technique of modifying the defect, use of long implants and magnets for retention is responsible for the high success rate of implants used to retain a nasal prosthesis.

Authors+Show Affiliations

Department of Oral & Maxillofacial Surgery, Odstock Centre for Burns, Plastic and Maxillofacial Surgery, Salisbury District Hospital, Salisbury SP2 8PJ, United Kingdom. mgethu@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20149598

Citation

Ethunandan, M, et al. "Implant-retained Nasal Prosthesis for Reconstruction of Large Rhinectomy Defects: the Salisbury Experience." International Journal of Oral and Maxillofacial Surgery, vol. 39, no. 4, 2010, pp. 343-9.
Ethunandan M, Downie I, Flood T. Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience. Int J Oral Maxillofac Surg. 2010;39(4):343-9.
Ethunandan, M., Downie, I., & Flood, T. (2010). Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience. International Journal of Oral and Maxillofacial Surgery, 39(4), 343-9. https://doi.org/10.1016/j.ijom.2010.01.003
Ethunandan M, Downie I, Flood T. Implant-retained Nasal Prosthesis for Reconstruction of Large Rhinectomy Defects: the Salisbury Experience. Int J Oral Maxillofac Surg. 2010;39(4):343-9. PubMed PMID: 20149598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience. AU - Ethunandan,M, AU - Downie,I, AU - Flood,T, Y1 - 2010/02/09/ PY - 2008/09/13/received PY - 2009/06/29/revised PY - 2010/01/12/accepted PY - 2010/2/13/entrez PY - 2010/2/13/pubmed PY - 2010/7/17/medline SP - 343 EP - 9 JF - International journal of oral and maxillofacial surgery JO - Int J Oral Maxillofac Surg VL - 39 IS - 4 N2 - The authors report their experience with 34 patients who had large full thickness nasal defects reconstructed with an implant-retained prosthesis. Their technique of modifying post-rhinectomy defects is described and factors influencing implant success are evaluated. 111 implants were placed to retain a nasal prosthesis. Age, sex and tumour histology did not affect the outcome. Smoking, extent of rhinectomy, use of radiotherapy (pre- and post-implant), hyperbaric oxygen, length and location of the implant and type of retention (bar/magnets) influenced implant success. The overall success rate was 89% (99/111); 94% in patients who did not receive radiotherapy and 86% in those who did. The prosthesis was in place in all patients (100%) at the time of last follow up. Post-rhinectomy defect modification enables adequate access for safe placement of long implants with good primary stability and helps the maintenance of good hygiene (further enhanced by the use of skin grafts). The authors think implant-retained prosthesis is a reliable option for reconstructing large full thickness rhinectomy defects. They suggest their technique of modifying the defect, use of long implants and magnets for retention is responsible for the high success rate of implants used to retain a nasal prosthesis. SN - 1399-0020 UR - https://www.unboundmedicine.com/medline/citation/20149598/Implant_retained_nasal_prosthesis_for_reconstruction_of_large_rhinectomy_defects:_the_Salisbury_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0901-5027(10)00006-8 DB - PRIME DP - Unbound Medicine ER -