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 language | English |
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Pages (from-to) | E619-E624 |
Number of pages | 6 |
Journal | Head and Neck: Journal of the Sciences and Specialties of the Head and Neck |
Volume | 38 |
Issue number | S1 |
Early online date | 2015 |
DOIs | |
Publication status | Published - 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