Orbital defect rehabilitation in an adolescent: A case report

Yayuk S. Rahayu, Inge Paramitha, Nina Ariani

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Introduction: Disfigurement associated with the loss of an eye causes significant physical and emotional complications. Prosthetic rehabilitation of such patients leads to improvement in their appearance as well as psychological status. Growth of adolescent patients and disease recurrence are important considerations when managing such cases. The present report described the ocular and orbital prostheses fabricated for an adolescent over the course of several years. Case Report: A 13-year-old female was referred to the Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia in 2015 for ocular prosthesis fabrication for the rehabilitation of orbital meningioma. Her medical history revealed tumor recurrence requiring several surgeries. Enucleation of the left eye had been performed in 2009, followed by a second surgery in 2010. Tumor debulking and radiation therapy had been performed in 2014 due to recurrence. In early 2015, the defect area did not provide sufficient space for inserting an ideal ocular prosthesis, but for psychological reasons, the first ocular prosthesis was fabricated at this time. In mid-2015, a second ocular prosthesis was fabricated. In 2017, the patient visited the department with a loosefitting ocular prosthesis. By this time, the defect area was large enough to accommodate an orbital prosthesis. Lastly, an adhesive-retained silicone orbital prosthesis utilizing the anatomical undercut was fabricated. Conclusion: Selection of a maxillofacial prosthesis should follow the patient's condition to achieve optimal results. Several factors should be taken into consideration, such as the patient's tissue condition, defect size, disease behavior, age and economic status. Over several years, different types of prostheses may be indicated.

Original languageEnglish
Title of host publicationClinical Reports in Dentistry
PublisherNova Science Publishers, Inc.
Number of pages7
ISBN (Electronic)9781536173291
ISBN (Print)9781536173284
Publication statusPublished - 3 Apr 2020


  • Adolescent
  • Maxillofacial prosthesis
  • Ocular
  • Orbital


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