Surgical collaboration

We are consultant in surgery for bone anchored rehabilitation through facial prosthesis.

The location and positioning of the implants and the height of the abutments (which go through the skin) dictate the optimum means of production and retention for a facial epithesis. 
It is therefore important that the implants should be fitted in collaboration with the prosthetist.
Furthermore, in cases where the thickness of the bone is insufficient for implants to be fitted, an adjacent site will be found to hold the epitheses on without compromising the cosmetic side.

From the drawing board to the final product

Consultations will be scheduled depending on the requirements involved in making the prosthesis.

The patient must be present for some of the phases. The time required for these sessions varies according to each case:
- initial consultation and assessment
- taking an impression
- sculpting the model
- mixing the pigments to match the skin colouring
- adaptation and finishing touches
If the prosthesis is very complex, and depending on the retention methods selected, further phases will be required:
- surgery for fitting the implants
- making a temporary epithesis
- making an ocular prosthesis by an approved ocularist

Other phases in the making process are carried out at the laboratory of the Centre d'Epithèses Faciales (Facial Prosthetics Centre). This concerns designing and making the mould, preparing the resins and applying different shades of silicon in the mould.

Making an ocular prosthesis

ANaplastologie - Making an ocular prosthesis .
One of the phases in the orbital epithesis process consists in an approved ocularist making an ocular prosthesis.

An ocular prosthesis can be made out of glass or resin.
The techniques applied are very different:

- ocular prostheses made of blown glass are painted to life with strips of multicoloured glass. They are very lifelike but also fragile. They are made by Ferdinand Förster, in Sarrebrücken, Germany (see photo)

- ocular prostheses made of resin are painted to life and made in Strasbourg by the ocularist company Bornert.