Bilateral implant-retained auricular prosthesis in a patient with Treacher Collins syndrome: a case report

Yıl 2014, Cilt: 31 Sayı: 1, 31 - 5, 25.02.2014

Seçil Karakoca Nemli , Esma Başak Gül Merve Bankoğlu Güngör

https://doi.org/10.17214/aot.81136

Öz

INTRODUCTION: Treacher Collins Syndrome (TCS), a rare autosomal dominant disorder, primarily affects the development of facial structures. Although surgical reconstruction is the treatment of choice for auricular deformities that result from TCS, the implant-retained auricular prosthesis must be considered when surgical reconstruction is not possible.

CASE REPORT: In this case report, reconstruction of the bilateral congenitally missing ears of a patient resulting from TCS with implant-retained facial prosthesis was described. Three extraoral implants were placed at bilateral defect sites. After 3-month healing period, osseointegration was confirmed manually objectively by means of resonance frequency analysis. Implant-retained silicone auricular prostheses with bar-clips attachments were fabricated. Follow-up examination was carried out every 6 months.

CONCLUSION: After 4 years of function, implants were successful, however deterioration of the prosthesis was observed and replacement prostheses were provided. Prosthetic rehabilitation of the patient resulted in acceptable functional and cosmetic results and enabled the patient return comfortably to society.

Anahtar Kelimeler

Ear Deformities, Franceschetti-Klein Syndrome, Mandibulofacial Dysostosis, Maxillofacial Prosthesis Implantation, Treacher Collins Syndrome

Treacher Collins sendromlu bir hastada bilateral implant destekli kulak protezi uygulaması: bir olgu bildirimi

Öz

TANITIM: Treacher Collins Sendromu (TCS) başta yüz yapılarının gelişimini etkileyen, nadir görülen, otozomal dominant bir bozukluktur. TCS olgularında kulak deformitelerinin tedavisinde cerrahi rekonstrüksiyon yöntemleri ilk tedavi seçeneği olarak düşünülür. Cerrahi yöntemlerin uygulanamadığı durumlarda implant destekli kulak protezleri düşünülür.

OLGU BİLDİRİMİ: Bu olgu bildiriminde TCS sonucu çift taraflı kulak deformitesine sahip bir hastada implant destekli kulak protezi uygulaması sunulmuştur. Her bir defekt bölgesine 3 adet ekstra oral implant yerleştirilmiştir. Üç aylık iyileşme dönemi sonunda implantların osseointegrasyonu hem manuel olarak hem de rezonans frekans analizi yöntemi ile objektif olarak tespit edilmiştir. Bar-klips ataçman sistemine sahip implant destekli silikon protezler yapılmıştır. Hasta 6 aylık kontrollere çağrılarak değerlendirilmiştir.

SONUÇ: Hastanın 4 yıllık takibi sonucunda implantların başarılı olarak fonksiyon gördüğü gözlenmiştir. Ancak silikon protezin yapısındaki bozulma sebebiyle yeni bir protez yapılmıştır. Protezler hastaya fonksiyonel ve estetik açıdan uygun bir tedavi seçeneği olmuş ve hastanın toplum yaşamına geri dönmesini sağlamıştır.

Anahtar Kelimeler

Çene-Yüz Protezi İmplantasyonu, Franceschetti-Klein Sendromu, Kulak Deformiteleri, Mandibulofasiyal Dizostozis, Treacher Collins Sendromu

Kaynakça

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