PMC4832795_01
Pre-treatment photograph showing nasal defect
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F1
There was considerable asymmetry of the face with depressed right malar region [Figure 1].
Facial moulage
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F2
Facial moulage was prepared using irreversible hydrocolloid impression material (Tropicalgin, Zhermack, Italy) [Figure 2].
Wax pattern fabricated over acrylic scaffold
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F3
This wax pattern was further refined using patient's old photograph and its margins were extended over the depressed area of the right zygoma to create harmony between two sides of the face [Figure 3].
Flasking and dewaxing of wax pattern along with acrylic scaffold
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F4
After final try-in, flasking and dewaxing of extra-oral prosthesis was carried out [Figure 4] and separating media was applied.
Finished nasal prosthesis
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F5
Room temperature vulcanizing silicone (RTV silicone, M.P Sai Enterprises, Mumbai, Maharashtra, India) was used along with compatible stains provided by manufacturer to pack the mold after chair side shade matching [Figure 5]. Silicone gloss was applied over the external surface to give more lifelike appearance [Figure 5].
Acrylic portion relined with acrylic based tissue conditioner
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F6
Post-treatment photograph with nasal prosthesis
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F7
Technovent Ltd, South Wales, UK) was used for additional retention. The patient was advised to get an orbital prosthesis to improve his facial esthetics, and to wear spectacle to conceal the margins of prosthesis [Figure 7].