Retrospective analysis of titanium plate-retained prostheses placed after total rhinectomy.
OBJECTIVE
To report the use of a new platelike system (Titanium Epiplating System, Medicon, Tuttlingen, Germany) for rehabilitation of patients after total rhinectomy.


METHODS
This retrospective study was conducted on all patients treated between August 2001 and July 2006 with total or subtotal rhinectomy. The clinical outcomes and satisfaction of patients receiving nasal prostheses were evaluated, and the success rate of the subperiosteal implants was determined. Quality of life (QOL) was evaluated with a standardized questionnaire. Patients who had experience with different retention methods responded to a five-point scale evaluating their current satisfaction.


RESULTS
Eleven patients (four women and seven men) received nasal prostheses. The mean age was 63 +/- 12 years (range, 43 to 84 years). Nine patients were fitted with subperiosteal microplates and followed for a mean of 35 months. Two patients had subtotal rhinectomy and did not receive implants. In four patients immediate implant placement (concurrent with tumor resection) was performed; the other five patients received implants later. The implant success rate was 82%. There was no early implant loss, although one patient lost his implants after 3 years and another patient lost one implant after 1.5 years. QOL scores demonstrated high acceptance of implant fixed retention in comparison with other retention methods (P = .001).


CONCLUSIONS
Implantation of anatomically prefabricated titanium plates has a high success rate in the nasal area, although late implant loss may occur. Patient perceptions of QOL show improvement when prostheses are retained by subperiosteal implants.
Sandner
Annett
A
Department of Otorhinolaryngology, Head and Neck Surgery, Martin Luther University Halle-Wittenberg, Magdeburger Str. 12, 06097 Halle/Saale, Germany. annett.sandner@medizin.uni-halle.de
Bloching
Marc
M