contents
Foreword
Preface
Chapter 1 Patient Assessment
Assessment
Clinical Psychotherapy
Considerations
Why prosthetics-are they required?
Criteria
Motivation
Retention
Pre-prosthetic surgery
Scale
Contour
Margins
Tissue movement
Final assessment
Chapter 2 Impression Techniques
Introduction
Materials and equipment
Material properties
Alginate
Silicones
Plaster of Paris bandage
Tissue / Defect preparation
Facial impression techniques
Auricular defect
Nasal defect
Orbital / Hemi-facial defect
Finger impressions
Hand / Arm impressions
Leg divot defect
Nipple-areola
Branemark craniofacial osseointegrated implant impression
Summary
Chapter 3 Partial Leg Divots
Introduction
Sculpting technique
Mould construction
Silicone selection
Colour match
Extrinsic stain
Fitting
Retention
Summary
Patient presentations
Chapter 4 Nasal Prosthesis
Introduction
Total nasal prosthesis
Partial nasal prosthesis
Retention of nasal prosthesis
Direct adhesive fixation
Combined direct adhesive/magnetic retention
Osseointegrated implant retention
Intranasal anatomical retention
Spectacle retention
Partial/complete nasal prosthesis- spectacle retained technique of construction
Sculpting
Margin edges
Mould construction
Acrylic bonding of insert
Bonding the prosthesis to the spectacle frame
Fitting the prosthesis
Remake of prosthesis
Contra-indications
Summary
Patient presentations
Chapter 5 Auricular Prosthesis
Introduction
Total auricular prosthesis
Partial auricular prosthesis
Retention
Direct adhesive fixation
Combined direct adhesive/magnetic retention
Osseointegrated implant retention
Anatomical retention
Spectacle retention
Technique of construction
Sculpting
Mould construction
Epoxy surface coat
Trimming and preparing the prosthesis
Fitting the prosthesis
Meatal defects
Paediatric considerations
Summary
Patient presentations
Chapter 6 Orbital Prosthesis
Introduction
Retention
Technique of construction-spectacle retention
Ocular component
Eye alignment
Sculpting technique
Mould construction
Prosthesis displacement
Summary
Patient presentations
Chapter 7 Nipple-areola Prosthesis
Introduction
Unilateral nipple-areola prosthesis
Technique
Nipple-areola pattern
Mould construction
Colour match
Trimming and preparation
Bi-lateral nipple-areola prosthesis
Fitting
Alternative construction technique
Surgical tattooing
Summary
Patient presentations
Chapter 8 Finger Prosthesis
Introduction
Total finger prosthesis
Multiple finger prosthesis
Partial finger prosthesis
Technique
Trial sleeve
Wax pattern
Try of pattern and trial sleeve
Mould construction
Epoxyresin/dough mould
Finger mechanisms
Silicone selection
Silicone liner
Colour match
Extrinsic colouring
Fingernail construction
Fit of prosthesis
Summary
Patient presentations
Chapter 9 Adhesive / Magnetic Retention
Introduction
Nasal / Lip prosthesis
Technique
Magna-cap base construction
Secondary impression
Magnetic retention within the silicone prosthesis
Sculpting
Mould construction
Trimming /stain/seal
Fitting
Hemi-facial prosthesis
Summary
Patient presentations
Chapter 10 Silicones
Introduction
Cure type
Silicone properties
Definitions
Silicones
Silicone fluid
Thixotropic agent
Cure inhibition
Mould reclaimer
Retarding silicone cure
Summary
Chapter 11 Colouring / Trimming / Finishing
Introduction
Intrinsic colouring
Trimming
Extrinsic staining
Bacterial mould growth
Facial hair
Skin colour change
Asian / Afro-caribbean colour match
Summary
Chapter 12 Magnet to Magnet Retention
Introduction
Partial auricular defect
Technique
Summary
Chapter 13 Adhesives and Removers
Introduction
Adhesives
Bi-face (double sided) pressure sensistive tape
Spray adhesives
Tissue conditioners
Removers
Summary
Chapter 14 Osseointegrated Implant Retention
Introduction
Consultation
Implant position
Construction of implant template
Tissue remnants
Abutment hygiene
Choice of retention
Technique of construction
Bar splint and clip base construction
Ear carve
Mould construction
Duplicate clip base
Bonding the acrylic clip base to silicone
Priming magnets
Auricular re-make
Magnetic retention
Technique
Bar splint / magnetic combined retention
Paediatric considerations
Summary
Patient presentations
Chapter 15 Cosmetic Hand and Upper Limb Prosthesis
Introduction
Partial prosthesis
Technique
Trial sleeve
Wax pattern
Wax pattern alignment
Mould construction
Undercuts
Hand mechanisms
Stand alone wire mechanism
Wire and foan mechansims
Epoxy hand moulds
Upper limb prosthesis
Silicone repairs
De-lamination of extrinsic seal
Summary
Patient presentations
Chapter 16 Osseointegrated Finger Implants
Introduction
Treatment planning
Case history-Index / Middle fingers
Technique 1
Technique 2
Case history -Thumb
Summary
Chapter 17 Forefoot Obturator Prosthesis
Introduction
Technique of construction
Summary
Chapter 18 Fitting Prosthesis
Introduction
Partial leg divot prosthesis
Facial prosthesis
Spectacle retained
Direct adhesive fixation
Nipple-areola prosthesis
Finger prosthesis
Hand and upper limb prosthesis
Osseointegrated implant retained prosthesis
Bar-splint clip base
Magnetic retention
Osseointegrated implant finger prosthesis
Osseointegrated implant abutment hygiene
Instruction leaflets
Finally
Chapter 19 Cosmetic Camouflage / Surgical Tattoo
Introduction
Cosmetic camouflage
Conditions
Patient assessment
Materials
Colour matching/application
Surgical tattooing
Machines
Machine set up
Colour mixing
Technique
Aseptic technique
Care of tattoo
Summary
Patient presentations
Index of Suppliers
Index
Addendum
