title: Percutaneous implant retention of a nasal prosthesis.
abstract: This report describes an approach to the simultaneous retention of a nasal prosthesis and an intraoral prosthesis for a patient who had undergone a total rhinectomy with resection of the upper lip and premaxilla. At the time of the nasal resection, 2 dental implants were placed adjacent to the resection margins in the first premolar positions. These were used to anchor an intraoral, milled titanium bar and overdenture to replace the missing anterior teeth and provide support for the upper lip, which had been reconstructed with a vascularized radial forearm free-flap. The titanium bar also incorporated a connection for a tissue-penetrating percutaneous nasal extension, which pierced the radial forearm flap near the junction with the hard palate. Magnetic attachments screwed to the nasal extension retained a nasal prosthesis. The predictable and straightforward implementation of this novel concept with digital design and manufacture of the titanium components and guided placement of the nasal extension was made possible with software planning.
authors: Honorary consultant, Department of Head and Neck Surgery, University College Hospital London, United Kingdom. Electronic address: andrewdawood@hotmail.com.
authors: Andrew
authors: A
authors: Dawood
authors: Consultant, Department of Head and Neck Surgery University College London Hospital, United Kingdom.
authors: Nicholas
authors: N
authors: Kalavrezos
authors: Consultant, University College London Hospital, United Kingdom.
authors: Mark
authors: M
authors: Barrett
authors: Private practice, London, United Kingdom.
authors: Susan
authors: S
authors: Tanner
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006801:Humans; D008447:Maxillofacial Prosthesis; D019931:Maxillofacial Prosthesis Implantation / Q000379:methods; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D060489:Prosthesis Retention / Q000379:methods*