Page 116 - Craniomaxillofacial Implant Surgery - Jeroen P.J. Dings
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Chapter 6
given less consideration.
In conclusion, despite the described limitations, both prosthetic and autologous reconstructions of nasal and auricular defects were shown to restore the facial appearance of the patient. Prosthetic reconstructions of nasal and auricular defects were considered advantageous (in terms of aesthetic outcome) in the view of professionals, particularly the OMF surgeons, while patients themselves judged prosthetic and autologous nasal and auricular reconstructions as being equal. Since no anatomical subunits were found to influence the aesthetic outcome of a reconstruction, the planning, modelling and manufacturing of nasal and auricular reconstructions should consider all features and anatomical subunits equally. The surgeon should consider the reconstruction as a whole, rather than focusing on specific anatomical subunits when performing nasal or auricular reconstructions. Numerous factors, such as the age of the patient, their health status and the location and size of the CMF defect, influence the decision on which is the most appropriate reconstructive treatment modality. OMF and ENT surgeons play a key role in providing patients with comprehensive information on the advantages and disadvantages of both techniques38. Patient-centred care and shared decision-making are of great importance, and increase the likelihood of patient satisfaction with the aesthetic outcome of their reconstructive treatment.































































































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