Page 110 - Craniomaxillofacial Implant Surgery - Jeroen P.J. Dings

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Chapter 6
For the nasal reconstructions, the laymen and ENT surgeons expressed a preference for an autologous reconstruction only in the category of ‘colour’, while the patients observed no differences between the prosthetic or autologous nasal reconstruction in any of the domains. In contrast, the OMF surgeons showed a significant preference for prosthetic nasal reconstructions in all domains except for ‘colour’.
Regarding the auricular reconstructions, the laymen showed a preference for the prosthetic solution in the domains ‘matches the patient’s face’, ‘natural shape’ and ‘length’, while the patients preferred prosthetic ear reconstructions only for ‘natural shape’. The OMF surgeons judged the prosthetic ear favourably in all domains. In contrast, ENT surgeons only favoured prosthetic reconstruction in the domain ‘natural shape’. No other significant differences were seen (Table 5).
Appreciation scores for different anatomical subunits are shown in Tables 6 and 7. There were significant differences for both nasal and auricular reconstructions in favour of prosthetic rehabilitation for all anatomical subunits, with the exception of the nasion and nasal columella. OMF and ENT surgeons showed significant differences in the appreciation of the nasal dorsum reconstructed by prosthetic rather than autologous means; however, there were no significant differences in the appreciation scores from the laymen and patients. For the auricular reconstruction, only the ENT surgeon group did not report significantly higher appreciation scores of the triangular fossa reconstructed by prosthetic rather than autologous means.
No clinically relevant correlations were found between the age or gender of the different respondent groups and their scores. This was also true of the relationship between the age or gender of the patients featured in the questionnaire and the judgement of the various respondent groups. Furthermore, the mixed-model analyses revealed that no anatomical subunits had a clinically meaningful impact on the overall match of a nasal or auricular reconstruction with the patient’s face.