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

 

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