PMC7580745_01
(a and b) Preoperative photograph showing huge elephant trunk appearance of the patient. (c and d) Postoperative photograph showing the disfigurement of the face due to repeated surgeries
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F1
She underwent four surgical interventions in a span of 6 years in various hospitals at Bengal, Bhopal, and Kolkata due to the recurrence of the tumor to a huge size of almost resembling an elephant trunk [Figure 1a and b]. During the examination, the patient-related dissatisfaction with her appearance and was especially concerned about her facial disfigurement [Figure 1c]. There were a large septal perforation and the bilateral absence of mucous blanket, which lead to mucosal atrophy [Figure 1d]. This defect was elliptical with obliterated edges measuring about 6 cm long and 2 cm wide with a depth of more than that 3 cm along the left side of the face [Figure 1c]. The exposed structures of the defect were conchae and meatus with an intact nasal bone, lateral part of the septal cartilage, frontal process of maxilla, and medial wall of the orbit and the cribriform plate of the ethmoidal bone [Figure 1d].
(a) Alginate impression. (b) Stone cast model of the face. (c and d) Wax pattern of the prosthesis. (e) Wax pattern adapted to the defect. (f) Wax pattern retained by spectacles
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F2
The impression was then poured with the type III dental stone (Kala Stone; Kala Bhai Pvt Ltd., Mumbai, India) to achieve a cast [Figure 2b].
Preprosthetic and postprosthetic pictures
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F3
Detailed instructions regarding care and use were provided to the patient [Figure 3].