Reconstruction of Mid-facial Defects Using Facial Prostheses Supported by Dental Implants

Malignant tumors which affect nasal structures are uncommon. They represent about 0.2% of all cancers and are more than twice as prevalent in males. Squamous cell carcinoma is the most common type of nasal cancer. However, basal cell carcinoma, melanoma, sarcoma and inverting papilloma can involve nose and/or para-nasal sinuses too. Although rare, these pathologies are the most frequent cause for acquired defects of the nose. In this light, the need to obtain clear resection margins obliges surgeon to perform extensive nose amputations. This report describes the case of a 63 years old man affected by squamous cell carcinoma of the nose. A total nose amputation was carried out due to the extension of the tumor. Nasal reconstruction was performed with an implant-retained prosthesis. Three dental implants were used for anchoring the nasal prostheses. This technology is safe and it ensures optimum esthetic results.

Author(s): Paolo Cariati, Jose Fernandez Solis, Miguel Perez De Perceval, Alfredo Valencia Laseca and Ildefonso Martinez Lara

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