Skip to main content

Orbital Prostheses

  • Chapter
  • First Online:
Book cover Clinical Ophthalmic Oncology

Abstract

The loss of an eye is devastating, the loss of an eye together with surrounding facial structures doubly so. The relatively new field of anaplastology now allows the patient to be rehabilitated with a realistic orbital and facial custom-made prosthesis. This chapter provides clinical information to the oncologic ophthalmologist regarding restorative prostheses for loss of facial and orbital tissue. To help a patient fully recover and restore the quality of life after an orbital exenteration surgery, the oncologic ophthalmologist should work with a facial prosthetist (anaplastologist) from initial consultation to subsequent visits.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tyers AG. Orbital exenteration for invasive skin tumours. Eye. 2006;20:1165–70.

    CAS  PubMed  Google Scholar 

  2. Nassab RS, Thomas SS, Murray D. Orbital exenteration for advanced periorbital skin cancers: 20 years experience. J Plas Recon Aesth Surg. 2007;60:1103–9.

    Google Scholar 

  3. Radici M, Bicciolo G, Palma O, Bozza F. Il massiccio facciale. In: De Campora E, Marzetti F, editors. La chirurgia oncologica della testa e del collo. Pisa: Pacini Editore; 1996. p. 345–81.

    Google Scholar 

  4. Kesting MR, Koerdt S, Rommel N, et al. Classification of orbital exenteration and reconstruction. J Cranio-Maxillo-Facial Surg. 2017;45:467–73.

    Google Scholar 

  5. Sophie JY, Dierks EJ, Over LM, et al. Prosthetic reconstruction of the orbit/globe. Oral Maxillofacial Surg Clin N Am. 2012;24:697–712.

    Google Scholar 

  6. Doan BD. A psychologist’s perspective on clinical practice in anaplastology. J Facial Somato Pros. 1997;3(2):89–94.

    Google Scholar 

  7. Herzmann K, Schwenke J, Eckelt. Psychocial issues in the treatment and rehabilitation of patients with oral and head and neck cancer. J Facial Somato Pros. 1997;3(1):23–32.

    Google Scholar 

  8. Bulbulian AH. Reconstruction of the orbit and the eye. In: facial prosthesis. Philidelphia: WB Saunders Company; 1945. p. 141–8.

    Google Scholar 

  9. Cobein MV, Coto NP, Crivello O Jr, et al. Retention systems for extraoral maxillofacial prosthetics implants: a critical review. Br J Oral Max Surg. 2017;55:763–9.

    CAS  Google Scholar 

  10. McKinstry RE, Retention and facial Prosthetics. In: McKinstry RE. Fundamentals of facial prosthetics. Arlington: ABI Professional Publications; 1995. 24–25.

    Google Scholar 

  11. Wachter R, Lauer G, Schilli W, et al. Difficulties in the epithetic treatment of orbital defects after irradiation. J Facial Somato Pros. 1997;3(1):39–54.

    Google Scholar 

  12. Leeming B, Renk A. A method of attaching an orbital prosthesis to spectacle frames. J Facial Somato Pros. 1997;3(1):33–8.

    Google Scholar 

  13. Thomas KF. Spectacle considerations. In: Prosthetic rehabilitation. London: Quintessence Publishing Co., Ltd; 1994. p. 163–7.

    Google Scholar 

  14. Wuebolt GE, Patel BC, Silver JH, et al. Brow-supported spectacle frames for nasal bridge reconstruction and other deformities. Arch Ophthalmol. 1993 Feb;111(2):162–3.

    CAS  PubMed  Google Scholar 

  15. Greig AVH, Jones S, Haylock C, et al. Reconstruction of the exenterated orbit with Osseointegrated implants. J Plas Recon Aesth Surg. 2010;63:1656–65.

    CAS  Google Scholar 

  16. Nerad JA, Carter KD, LaVelle WE, et al. The Osseointegration technique for the rehabilitation of the exenterated orbit. Arch Ophthalmol. 1991 Jul;109:1032–8.

    CAS  PubMed  Google Scholar 

  17. Tjellstrӧm A, Jansson K, Brånemark P-I. Craniofacial defects. In: Advanced osseointegration surgery: applications in the maxillofacial region. London: Quintessence Publishing Co., Ltd; 1992. p. 304–6.

    Google Scholar 

  18. DeSerres JJ, Budden CR, Wolfaardt JF, et al. Long-term follow-up of Osseointegrated orbital prosthetic reconstruction. J Craniofac Surg. 2017;28(8):1901–5.

    PubMed  Google Scholar 

  19. Becker H, Franz-Hausmann D, Trainer D, et al. Clinical experiences using different extraoral implant systems after orbital exenteration. J Facial Somato Pros. 2000;6(1):11–8.

    Google Scholar 

  20. Toljanic JA, Eckert SE, Roumanas E, et al. Osseointegrated craniofacial implants in the rehabilitation of orbital defects: an update of a retrospective experience in the United States. J Pros Dent. 2005;94(2):177–82.

    Google Scholar 

  21. Rangert B. Biomechanical considerations for implant-supported orbital prostheses. J Facial Somato Pros. 1996;2(1):43–50.

    Google Scholar 

  22. Schwipper V, Tilkorn H. Combined extra- and intraoral defects: their repair by reconstructive surgery and dental and facial prostheses. J Facial Somato Pros. 2000;6(1):29–38; Leeming B, Renk A, Olberding S, Sigel K, Mӧhler H. Microbiological flora around percutaneous craniofacial implants. J Facial Somato Pros. 1999;5(1):35–40.

    Google Scholar 

  23. Tanner PB, Mobley SR. External auricular and facial prosthetics: a collaborative effort of the reconstructive surgeon and anaplastologist. Facial Plast Surg Clin of N Am. 2006;14:137–45.

    Google Scholar 

  24. Ӧzҫelik TB, Tanner PB. A surgical guide for craniofacial implant placement for an implant-retained auricular prosthesis. J Prosthet Dent. 2010;103:253–5.

    Google Scholar 

  25. Eaton LD. Functional and cosmetic alloplastic reconstruction of the eye socket, orbit and midface. J Ophthalmic Pros. 2001;6(1):31–42.

    Google Scholar 

  26. Schwenzer N. Bonegrafting and sigittal implantation to support an orbital prosthesis. J Facial Somato Pros. 1997;3(2):43–8.

    Google Scholar 

  27. Gully NJ. Fabrication of an ocular prosthesis using a custom jig. J Facial Somato Pros. 1997;3(1):13–8.

    Google Scholar 

  28. Harwin F. Creating the illusion of a dilating pupil. J Ophthalmic Pros. 2000;5(1):29–36.

    Google Scholar 

  29. Oyster CW. Ocular geometry and topography. In: The human eye: structure and function. Boston: Sinauer Associates, Inc; 1999. p. 96.

    Google Scholar 

  30. Clarke CD. Orbital prosthetics. In: Prosthetics. Butler: The Standard Arts Press; 1965. p. 117–32.

    Google Scholar 

  31. Thomas KF. Orbital prostheses. In: Prosthetic rehabilitation. London: Quintessence Publishing Co., Ltd; 1994. p. 69–78.

    Google Scholar 

  32. Bergstӧm K. Prosthetic procedures for orbital defects: technique and case study. J Facial Somato Pros. 1996;2(1):27–36.

    Google Scholar 

  33. Chepeha DB, Wang SJ, Marentette LJ, et al. Restoration of the orbital aesthetic subunit in complex mid facial defects. Laryngoscope. 2004;114(10):1706–13.

    PubMed  Google Scholar 

  34. Morgan NA, Asher ES. Simple two-piece mold-making technique for orbital prostheses. J Facial Somato Pros. 2002;8(1):1–8.

    Google Scholar 

  35. Erb RA. Intrinsic and extrinsic coloration of prostheses. In: McKinstry RE, editor. Fundamentals of facial prosthetics. Arlington: ABI Professional Publications; 1996. p. 161–8.

    Google Scholar 

  36. Tanner PB, Leachman S, Boucher K, et al. Depigmented skin and phantom color measurements for realistic prostheses. Skin Res Technol. 2013;0:1–5.

    Google Scholar 

  37. Zahouani H, Vargiolu R. Skin line morphology: tree and branches. In: Agache P, Humbert P, editors. Measuring the skin. Berlin: Springer; 2004. p. 40–59.

    Google Scholar 

  38. Spinelli G, Asher E. Microbial growth on midfacial prostheses: identification, treatment, and prevention. J Facial Somato Pros. 2003;9(2):81–92.

    Google Scholar 

  39. Reisberg D, Viana M. Soft tissue response to percutaneous implants: a literature review. J Facial Somato Pros. 2000;6(2):73–80.

    Google Scholar 

  40. Conroy BF. A brief sortie into the history of cranio-oculofacial prosthetics. Facial Plast Surg. 1993;9(2):89–115.

    CAS  PubMed  Google Scholar 

  41. Snyder C. Ambroise Paré and ocular prosthesis. Arch Ophthalmol. 1963;70(1):130–2.

    CAS  PubMed  Google Scholar 

  42. Enoch JM. History is the light on the path to (the) future: the Burnt City, and the first known artificial eye. Hindsight. 2007;38(3):58–67.

    PubMed  Google Scholar 

  43. Wilson RP. Artificial eyes in ancient Egypt. Surv Ophthalmol. 1972;16(5):322–31.

    CAS  PubMed  Google Scholar 

  44. Reisberg DJ, Habakuk SW. A history of facial and ocular prosthetics. Adv Ophthalmic Plast Reconstr Surg. 1990;8:11–24.

    CAS  PubMed  Google Scholar 

  45. Tetamore FLR. Deformities of the face and orthopedics. NY: Brooklyn; 1984.

    Google Scholar 

  46. Bulbulian AH. Materials that may be used in the construction of a prosthetic restoration. In: Facial prosthesis. Philidelphia: WB Saunders Company; 1945. p. 21–8.

    Google Scholar 

  47. Alexander C. Faces of war. Smithsonian Magazine. 2007. https://www.smithsonianmag.com/arts-culture/faces-of-war-145799854/ Video: http://www.smithsonianmag.com/videos/category/history/about-face/. Accessed April 2018.

  48. Kazanjian VH. De la prothèse dan le traitment des lésions des parties molles de la bouche et de la face. Restauration Maxillo-Fac. 1918;2:345–82.

    Google Scholar 

  49. Desfosses P. L’Oeuvre de Madame Ladd. Presse Méd. 1918;1:345–6.

    Google Scholar 

  50. Bulbulian AH. Use of plastics in facial Prosthetics. In: Facial prosthesis. Philidelphia: WB Saunders Company; 1945. p. 141–8.

    Google Scholar 

  51. Bulbulian AH. Prevulcanized latex and methods of compounding it for use in making latex restorations. In: Facial prosthesis. Philidelphia: WB Saunders Company; 1945. p. 149–56.

    Google Scholar 

  52. Wainstock MA, Metz HH. Rehabilitation of the orbit after exenteration for malignancy. J Int Coll Surg. 1965 Sep;44:289–97.

    CAS  PubMed  Google Scholar 

  53. Cantor R, Curtis TA, Rozen RD. Orofacial prosthetic rehabilitation. Arch Otolaryngol. 1968 May;87(5):559–61.

    CAS  PubMed  Google Scholar 

  54. Miranda E, Habakuk S. Artificial movement as applied to prostheses of the orbit: a literature review. J Facial Somato Pros. 2000;6(2):95–108.

    Google Scholar 

  55. Klein M, Menneking H, Hasenpusch M, et al. A new orbital prosthesis with a mobile upper eyelid. J Facial Somato Pros. 1999;5(1):11–8.

    Google Scholar 

  56. Lewis PM, Ayton LN, Guymer RH, et al. Advances in implantable bionic devices for blindness: a review. ANZ J Surg. 2016;86:654–9.

    PubMed  PubMed Central  Google Scholar 

  57. Ong JM, Cruz L. The bionic eye: a review. Clin Exp Ophthalmol. 2012;40:6–17.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bhupendra C. K. Patel .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tanner, P., Patel, B.C.K. (2019). Orbital Prostheses. In: Hwang, C.J., Patel, B.C., Singh, A.D. (eds) Clinical Ophthalmic Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-13558-4_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-13558-4_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-13557-7

  • Online ISBN: 978-3-030-13558-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics