Title
Oculofacial Prosthetic Rehabilitation Complemented With Temporary Fillers and Neurotoxin
Date Issued
01 July 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Paulista University
Publisher(s)
Lippincott Williams and Wilkins
Abstract
Surgical treatment of head and neck cancer causes severe tissue loss, therefore, deformities and psychosocial consequences. In cases involving orbit exenteration, satisfactory reconstruction can only be achieved with prosthetic replacement, despite successful reconstructive plastic surgery. Extraoral implants, 3D scanning, and prototyping technologies have contributed to increase satisfactory aesthetic results of oculofacial prosthesis. However, to achieve prosthetic rehabilitation refinement, patients' biological tissues have been treated with injectable cosmetic adjuncts methods as complements to results. This study aimed to describe the use of botulinum toxin type A, hyaluronic acid, and calcium hydroxyapatite previously to oculofacial prostheses manufacturing, in 5 oncologic patients of a rehabilitation unit. Outcomes produced by additional cosmetic methods on tissues, prostheses planning, and overall facial rehabilitation were observed and registered by photographs. Botulinum toxin type A, hyaluronic acid, and calcium hydroxyapatite has shown to be useful in improving asymmetries, volumizing surgical depressions and dissembling atrophic scars. Presenting an additional resource to improve overall results, enabling the manufacturing of smaller, thinner, and better-fitting oculofacial prostheses. Limitations as chronic infection and necrosis episodes, related to filler injection into previously irradiated sites, were described. The temporary effect of the materials used generates a need for reapplications but increases the safety of such procedures and enables patients' cancer treatment follow-up.
Start page
E482
End page
E488
Volume
33
Issue
5
Language
English
OCDE Knowledge area
Medicina integral, Medicina complementaria
Subjects
Scopus EID
2-s2.0-85134487819
PubMed ID
Source
Journal of Craniofacial Surgery
ISSN of the container
10492275
Sponsor(s)
This work was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brasil (CAPES), Finance Code 001.
Sources of information:
Directorio de Producción Científica
Scopus