Recommendations for implant-retained nasal prostheses after ablative tumor surgery: Minimal surgical aftercare, high implant survival, and satisfied patients

Anke Korfage*, Gerry M Raghoebar, Willem D Noorda, Boudewijn E Plaat, Arjan Vissink, Anita Visser

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

28 Citations (Scopus)

Abstract

Background. Nasal defects resulting from tumor resection are preferably rehabilitated with implant-retained nasal prostheses. Aftercare, clinical outcome of the implants, and patients' satisfaction with implant-retained nasal prostheses were assessed.

Methods. Twenty-eight consecutive patients needing total rhinectomy because of tumor resection between 1998 and 2013 were treated according to a standardized protocol with 2 implants in the nasal floor. Surgical and prosthetic aftercare was scored using patient records. Finally in 2014, skin reaction, peri-implant bone loss, and patients' satisfaction were assessed in all 13 still living patients.

Results. In total, 56 implants were inserted (median follow-up, 35.1 months; interquartile range [IQR], 8.9-63.3). Implant survival was 96.4%. Implant survival was independent of radiotherapy. Peri-implant skin was healthy and patients' satisfaction high. Longevity of the prostheses was limited.

Conclusion. Rehabilitation of nasal defects resulting from total rhinectomy with implant-retained nasal prostheses, according to our protocol, resulted in high patient satisfaction and favorable treatment outcome. (C) 2015 Wiley Periodicals, Inc.

Original languageEnglish
Pages (from-to)E619-E624
Number of pages6
JournalHead and Neck: Journal of the Sciences and Specialties of the Head and Neck
Volume38
Issue numberS1
Early online date2015
DOIs
Publication statusPublished - Apr-2016

Keywords

  • nasal prosthesis
  • dental implants
  • head and neck oncology
  • facial defects
  • aftercare
  • ENDOSSEOUS CRANIOFACIAL IMPLANTS
  • EXTRAORAL IMPLANTS
  • FACIAL PROSTHESES
  • FOREHEAD FLAP
  • DEFECTS
  • RECONSTRUCTION
  • REHABILITATION
  • RATES
  • OSSEOINTEGRATION
  • EXPERIENCE

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