Implant Retained Nasal Prostheses to Reconstruct Irradiated Nose Post Rhinectomy

Typically implants for anaplastic reconstruction of the missing nose involve small peripheral implants in the nasal bone area and lateral wall off the maxilla (1,2).

This technique reviews 2 cases, a man and a woman who had sub-complete removal of the nose for squamous cell cancer and subsequent cancericidal irradiation therapy.

In both cases, 4 routine 3.5 mm x 8.5 mm dental implants were placed into the flattened piriform rim without any HBO. The nasal bony aperture was widened and 7 mm healing abutments were seated. No teeth were injured by cone-beam confirmation. No tissue grafts were used. 5-to-6 months later a joined triangular metal substructure retained clips for the prosthetic noses. There were no implant failures. 1. Ethunandan M, Downie I, Flood T. Implant-retained nasal prosthesis for reconstruction of large rhinectomy defects: the Salisbury experience. Int J Oral Maxillofac Surg. 2010 Apr;39(4):343-9. 2. Anke Korfage, DDS, et al. Recommendations for implant-retained nasal prostheses after ablative tumor surgery: Minimal surgical aftercare, high implant survival, and satisfied patients. Head Neck. 2015 Mar 17.