Extraoral prosthesis

Dr. Abdirahim Uurcade

BDS (Pak), FCPS (Pak) , FAOCMF (Germany)
Consultant Oral and Maxillofacial Surgeon
Ideal properties of facial prostheses
• Tissue compatibility • Translucency
• Durability • Easily processed
• Lightness in weight • Easily duplicated
• Flexibility • Easily cleaned
• Nonconducive and readily
available
facial prostheses
• The bulk of the prostheses may be fabricated with silicone, whereas,
acrylic resins are incorporated to provide strength and rigidity
Eye prosthesis
The surgical or trauma residual defect of the eye can be of one of the
following types
• Enucleation: which involves only the removal of the eye ball.
• Evisceration where the eyeball and the extraocular muscles are
removed.
• Exenteration will involve the removal of the entire content of the
orbit
Eye prosthesis
• Depending upon the defect an eye prosthesis can
either be
I. ocular
II. orbital
Eye prosthesis
• Ocular: it replaces only the eyeball following an
enucleation or evisceration.
• Orbital: it replaces not only eyeball but also eyelids
and surrounding structures.
Eye prosthesis
• Impressions are made with irreversible
hydrocolloid/elastomers
• Prosthesis is fabricated in acrylic or silicone.
• Retention of this prosthesis is through glass frames,
adhesives or implants.
Ear prosthesis
• This is also known as auricular prosthesis
• Impressions are made with irreversible hydrocolloid/elastomers
• Prosthesis is fabricated in acrylic or silicone
• Retention of this prosthesis is through glass frames, adhesives, hair
bands or implants.
Nasal prosthesis
• Nasal defects resulting from neoplasm, congenital malformations or
trauma can be restored with nasal prosthesis
• Impression procedures and prosthesis fabrication are similar to ear
prosthesis
• Retention is achieved with anatomic undercuts, adhesives, eyeglasses
and attachment to maxillary obturator and implants.
Nasal stents
• It improves nasal symmetry in unilateral cleft patients by neonatal
nasoalveolar moulding
• The congenital or acquired strictures of the nasal openings are
corrected by nasal stents