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the maxillofacial prosthetics laboratory and received a custom-made facial prosthesis
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Loss of facial organs in an individual may be developmental anomalies or acquired. The missing parts of the face ear, eyes and nose are considered as maxillofacial defects which can be rehabilitated by the prosthesis and/or cosmetic surgeries. This art of science has developed into a more reliable and predictable process due to ever increasing development of materials and equipments used in the procedure. This article describes a simple technique to rehabilitate patients with auricular defects which are both aesthetically acceptable and economical for the individual.
Mathematics, Computer Science, Bioinformatics, Statistics and Physics)and excellent skills in both written and spoken English, as the workinglanguage of the Faculty is English.
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Under ideal circumstances, creating a well-fitted facial prosthesis with an excellent cosmetic result requires a team effort of an array of specialists, each focusing on an area involved in maxillofacial rehabilitation. Depending on whether the defect is extraoral or intraoral and on the extent of the defect, these specialists will include head and neck surgeons, facial plastic surgeons, maxillofacial prosthodontists, and medical artists or anaplastologists. Speech pathologists, physical therapists, nutrition counselors, and other rehabilitation counselors are called in to address functional and quality-of-life considerations with both surgical and prosthetic rehabilitation.
Trauma (car accidents, burns, occupational accidents), head and neck cancer, and congenital defects are the most common reasons for full or partial loss of an eye, ear, nose, jawbone, or other head and neck structures. Patients faced with these defects may be able to choose between surgical reconstruction and prosthetic reconstruction, depending on the location and size of the defect. Sometimes the decision is between a prosthesis and nothing at all, for people who live in rural areas and/or lack insurance coverage. But even if people have geographical access to a center of excellence and the financial means to avail themselves of the best possible care, they may choose to live with a deformity rather than to have the hassle of cleaning and replacing a prosthetic device on a daily basis.
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When it’s finished, the prosthesis is attached to the patient’s face with magnets and medical glue. When there is not enough soft tissue to support the prosthesis—often the case with noses—maxillofacial prosthodontists can incorporate an acrylic base that clips directly to implants attached to the patient’s bone. Then the prosthesis is mounted to this sturdy base, nestled inside the patient’s skull.
Part science, part art, custom-designed facial prostheses require a combination of skills—plus a liberal dose of patience. Once the impression of the young boy’s ear dries, Morgan makes a master cast. Using artists’ tools, she sculpts it into a mirror image of a real ear before pouring silicone into the mold to make the prosthesis. The boy had several fittings to ensure his new ear would sit perfectly on his head.
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The art of facial prosthesis.
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Like so many procedures done at Tufts School of Dental Medicine, this one starts with an impression—not of a tooth, though, but of an ear or other facial feature. From that, maxillofacial prosthodontist Sujey Morgan casts an exact replica, in this case, a silicone prosthetic ear for a little boy born without one.
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Morgan, an assistant professor of prosthodontics and operative dentistry, has helped restore some normalcy to the lives of more than 30 patients who have needed oral and facial prostheses. Dentists like Morgan help fill a void in Boston’s busy and highly specialized medical enterprise. She and Marcelo Suzuki, an associate professor, are two of just four maxillofacial prosthodontists in the area.
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Custom Prosthetic, Ltd. in Seattle, Washington is a full-service anaplastology clinic, a specialized prosthetics practice offering custom restorative facial and other body prostheses. We provide caring,
one-on-one service tailored to each individual's needs.
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At CPL we focus on providing state of the art custom-made facial prosthetics; restorations of the ear, nose and orbit – including those that attach to , as well as digits (fingers), breast and nipple, partial hand and toe/partial feet. All patients receive the utmost care and attention to their individual needs. Attention can be given to specific goals such as recreational or vocationaltasks, playing an instrument, etc. An aesthetic, life-like prosthesis allows the patient to "blend in" and avoid drawing unnecessary attention, thus greatly improving the quality of life and serving as an important step in rehabilitation. Custom prostheses are durable, comfortable, and may be worn daily, requiring only simple care.
Facial Prosthesis | Ophthalmology | Medical Specialties
Though Tufts doesn’t offer a formal degree in maxillofacial prosthodontics, the school has been teaching this subspecialty since the mid-1970s. When Vergo joined the faculty, in 1976, he was the school’s—and Boston’s—first board-eligible specialist, having trained in maxillofacial prosthetics at the Roswell Park Memorial Institute in Buffalo, New York. In addition to treating patients, Vergo taught predoctoral students and continues to lecture at other dental schools about the specialty. His goal, he says, was to motivate young health professionals to go into the small, but important field.
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