Silikon Esaslı Self Retantif Parmak Protezi: Olgu Sunumu

Öz

Amaç: Bu vaka raporunun amacı tek parmağında kısmi eksiklik bulunan hastanın, vakum yöntemiyle kendinden retansiyonlu bir silikon protez ile rehabilitasyonunu anlatmaktır. Olgu sunumu: Tek parmağında kısmi eksiklik bulunan 42 yaşında bayan hasta protez gereksinimi ile başvurdu. Alınan anamnez sonrası özellikle görsel olarak rahatsız olduğunu sosyal hayatında sıkıntı çektiği için protez istediğini belirtti. Gerekli planlama ve hazırlık aşamasından sonra konvansiyonel yöntemlerle ölçü alındı ve silikon protez hazırlandı. Hastanın eksik parmağına adapte edildi. Sonuç: Silikon parmak protezi ile geri bildirimin değerlendirildiği bu olgu sunumunda, hastanın yaşam kalitesi ve psikososyal uyumunu iyileştirdiği gözlemlenmiştir. Fonksiyon açısından kısıtlı etkisi olsa da estetik görünüm açısından tatmin edici sonuçlar elde edilmiştir.

Anahtar Kelimeler

• amputasyon
• maksillofasiyal protez
• Silikon
• parmak

Rehabilitation of a patient with partial finger amputation with silicone prosthesis: Case report

Öz

Objectives: The aim of this case report is to describe the rehabilitation of a patient with partial finger amputation using a self-retaining silicone prosthesis by the vacuum method. Case Report: A 42-year-old female patient with a partial deficiency of one finger presented with the need for prosthesis. After the anamnesis, she stated that she wanted a prosthesis because she was visually uncomfortable and had problems in her social life. After the necessary planning and preparation phase, measurements were taken by conventional methods and a silicone prosthesis was prepared. It was adapted to the patient's missing finger. Conclusion: This case report evaluating feedback with a silicone finger prosthesis found that it improved the patient's quality of life and psychosocial adjustment. Although the effect was limited in terms of function, satisfactory results were obtained in terms of aesthetic appearance.

Anahtar Kelimeler

• Silicone
• finger
• amputation
• maxillofacial prosthesis

Kaynakça

1. Goyal A, Goel H. Prosthetic rehabilitation of a patient with finger amputation using silicone material. Prosthet Orthot Int. 2015;39(4):333-7.
2. Pillet J. The aesthetic hand prosthesis. Orthop Clin North Am 1981;12:961–9.
3. Pereira BP, Kour A-K, Leow E-L, et al. Benefits and use ofdigital prostheses. J Hand Surg Am 1996;21:222–8.
4. Heitmann C, Levin LS. Alternatives to thumb replantation. Plast Reconstr Surg. 2002;110(6):1492-503.
5. Dewan S, Kalra T, Kumar M, Bansal A. Prosthetic rehabilitation of amputated fingers using thimble prosthesis: a novel methodology. Dent J Adv Stud. 2019;7(03):131-4.
6. Arzu A, Gürbüz DCC, Günay Y. Adeziv yapıştırıcı ile kullanılan parmak protezi: olgu sunumu. Atatürk Üniv Dişhek Fak Derg. 2013;23:44-7.
7. Vijayan A, Bhatia V, Arora S, Gupta S. Completely digitally fabricated custom functional finger prosthesis. J Indian Prosthodont Soc. 2023;23(2):198-202.
8. Lake C. Partial hand amputation: prosthetic management.In: Smith DG, Michael JW and Bowker JH (eds) Atlas of amputations and limb deficiencies: surgical, prosthetic and rehabilitation principles. 3rd ed. Rosemont, IL: American Academy of Orthopedic Surgeons, 2004;209–17.

9. Heitmann C, Levin LS. Alternatives to thumb replantation. Plast Reconstr Surg. 2002;110(6):1492- 503.
10. Lundborg G, Waites A, Björkman A, Rosén B, Larsson E-M. Functional magnetic resonance imaging shows cortical activation on sensory stimulation of an osseointegrated prosthetic thumb. Scand J Plast Recons. 2006; 40(4):234-9.
11. Ozkan A, Senel B, Durmaz CE, Uyar HA, Evinc R. Use of dental implants to retain finger prostheses: A case report. Oral Health Dent Manag. 2012;11:11-5.
12. Pattanaik B, Pattanaik S. Fabrication of a functional finger prosthesis with simple attachment. J Indian Prosthodont Soc 2013;13:631-4.
13. Jacob PC, Shetty KH, Garg A, Pal B. Silicone finger prosthesis. A clinical report. J Prosthodont. 2012;21(8):631-3.
14. Pillet J, Didierjean-Pillet A. Aesthetic Hand Prosthesis: Gadget or Therapy? Presentation of a New Classification. J Hand Surg Br. 2001;26(6):523-8.
15. Kuret Z, Burger H, Vidmar G, Maver T. Impact of silicone prosthesis on hand function, grip power and grip-force tracking ability after finger amputation. Prosthet Orthot Int. 2016;40(6):744-50.
16. Nimonkar S, Belkhode V, Nimonkar P, Gotoorkar S. A Ring for a Ring Finger: A Case Report on Finger Prosthesis. Cureus. 2024;29;16(1):e53195.
17. Turhan Bal B, Öztürk E, Karakoca S. Maksillofasiyal Protezlerin Yapımında Kullanılan Materyallerdeki Gelişmeler. ADO Klinik Bilimler Dergisi 2007;1(4):63- 8.
18. Aduayom‑Ahego A. Prosthetic rehabilitation of multiple‑digit amputa tions using silicone material in sub‑Saharan African country Ghana. Pan Afr Med J 2020;36:357.
19. Aggarwal H, Singh SV, Singh AK, Kumar P, Singh BP. Interdisciplinary approach for somatoprosthetic rehabilitation of a patient with clino‑syndactyly and unusual dermatoglyphics. Prosthet Orthot Int 2016;40:763‑6.
20. Mehta S, Agrawal R, Chitikeshi S, Nandeeshwar DB. Rehabilitation of missing digit using customized attachment supported prosthesis. J Indian Prosthodont Soc 2019;19:276‑80.
21. Mehta S, Leela B, Karanjkar A, Halani AJ. Prosthetic rehabilitation of a partially amputated finger using a customized ring‑wire substructure. J Indian Prosthodont Soc 2018;18:82‑5.
22. Nemli S, Turhan Bal B, Bankoğlu Güngör M, İnal CB. Farklı Tutucu Sistemlerine Sahip İmplant Destekli Parmak Protezleri: 4 Olgu Sunumu. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi); 8(1): 24-8.
23. Zara K, Burger H, Vidmar G, Maver T. Adjustment to finger amputation and silicone finger prosthesis use. Disabilit and rehabilitation 2018;1307-12.
24. VB Kamble, RG Desai, D Panigrahi, M Kumar. Silicone finger prostheses for single partial amputations: Two case reports. Indian Journal of Dentistry. 2014;(5):128-34
25. Leow MEL, Puhaindran ME, Chong AKS. Color-matching techniques for creating esthetic hand and finger prostheses. Prosthet Orthot Int. 2023;47(3):321-6.
26. Pawar P, Borle AG, Patil RM, Patil P, Pawar VM, Pachori M. Digitization in Skin Shade Matching for Maxillofacial Prostheses: A Systematic Review. Cureus. 2023;21;15(8):e43886.
27. Atay A, Gürbüz CC, Günay Y. Adeziv Yapıştırıcı ile Kullanılan Parmak Protezi: Olgu Sunumu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2013;(23)7:44- 7.