title: Prosthetic management of post surgical nasal skin graft contracture.
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.
authors.affiliation: Prosthodontic unit, Department of Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
authors.forename: Shitu
authors.initials: S
authors.lastname: Jindal
authors.affiliation: Prosthodontic unit, Department of Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
authors.forename: Atul
authors.initials: A
authors.lastname: Bhatnagar
authors.affiliation: Prosthodontic unit, Department of Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
authors.forename: Ankita
authors.initials: A
authors.lastname: Singh
authors.affiliation: Prosthodontic unit, Department of Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
authors.forename: Romesh
authors.initials: R
authors.lastname: Soni
authors.affiliation: Prosthodontic unit, Department of Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
authors.forename: B P
authors.initials: BP
authors.lastname: Singh
keywords: Airway patency; Nasal stent; Nasal synechia; Restenosis