title: Closed-eye orbital prosthesis: a clinical report.
abstract: One of the most challenging prostheses to fabricate is an acceptable orbital prosthesis. Successful reconstruction of the complex missing tissues, the globe, muscle, skin, and bony elements requires time and high levels of practical skill. A good match to the contralateral nondefect side will help mask the underlying defect and give the patient confidence to return to normal, routine life. The contralateral eye opening will commonly dictate the eye opening of such a prosthesis, but because of the expressive nature of the eye and its high levels of mobility, this can be difficult to achieve. This clinical report presents a patient who had an extended orbital exenteration and right maxillectomy to remove a maxillary squamous cell carcinoma. An alternative approach to constructing an orbital prosthesis was undertaken with the eye closed. Compared to the normal method of fabrication, this process was less complex and quicker, made the prosthesis less "staring," camouflaged the defect, and reduced the detection of the prosthesis because of movements in the remaining eye. The patient engaged in his routine daily life, which reinforced his self-esteem, confidence, and reintegration into the community.
authors.affiliation: Senior maxillofacial prosthetist, Maxillofacial Department, King's College Hospital, London, UK.
authors.forename: Muhanad M
authors.initials: MM
authors.lastname: Hatamleh
authors.affiliation: Consultant maxillofacial prosthetist, Maxillofacial Department, Queens Medical Centre, Nottingham University Hospital Trust, Nottingham, UK. Electronic address: jason.watson@nuh.nhs.uk.
authors.forename: Jason
authors.initials: J
authors.lastname: Watson
authors.affiliation: Consultant maxillofacial surgeon, Maxillofacial Department, Queens Medical Centre, Nottingham University Hospital Trust, Nottingham, UK.
authors.forename: Dilip
authors.initials: D
authors.lastname: Srinivasan
mesh_terms: D001672:Biocompatible Materials / Q000737:chemistry; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005138:Eyebrows; D005140:Eyelashes; D005143:Eyelids; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008441:Maxillary Neoplasms / Q000601:surgery; D008875:Middle Aged; D017233:Orbit Evisceration / Q000534:rehabilitation*; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012828:Silicones / Q000737:chemistry; D012880:Skin Pigmentation
chemical_list: D001672:Biocompatible Materials; D012828:Silicones