rh24
10 Years Experience
Naples, FL
Female, 34
I am also referred to as an Anaplastologist or Maxillofacial Prosthetist. I make prosthetic facial anatomy for people who need it due to congenital birth defects, trauma (burns, accidents, etc), and cancer. Essentially, I'm an artist who works in medicine. Ask me anything!
Just one? That's very hard to choose, every last one is gratifying. If I had to choose one, it would be the patient I mentioned in a previous question. He had lost half of his face to cancer, and the result was completely undetectable. Ok ok.....I have to choose one more. An 8 year old patient of mine recently gave me a card telling me I had changed his life. TEAR JERKER!
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Detach his nose from his face??? This I have to see! It had to be a prosthesis. When he pulled it off, were there surgical implants in his skull? If so, it was just a prosthesis.
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I don't own my own practice at the moment. I mainly work in a hospital with a craniofacial team, which includes all the doctors necessary in treating birth defects that are "above the shoulders". We have a separate team filled with audiologists, 2-3 surgeons and myself just for ear patients. I haven't done much traveling for patients, they come to the hospital for their prosthesis to be made.
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Well if is made correctly, no! It's not easy to detect it. If one were to stare at it intently from a foot away, it may be slightly detectable due to the edges that blend into the skin in the front. Otherwise, someone standing a comfortable distance from you would have no idea. When it comes to a passing on the street or what have you, then it is most definitely not detectable.
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Not exactly clear on what you mean about your doctor "sending out," but I'll give it a whirl. I work with maxillofacial surgeons (they operate in and around the mouth and jaw, including the areas of the skull where implants for a prosthesis need to be placed) prosthodontists, as well as plastic surgeons. They either aid in the surgery component of implants and/or operate on the deformed ear or skin tags. The plastic surgeons also provide an alternate route when it comes to a missing ear, which is a reconstructive surgery that uses rib and skin grafts to construct an ear. I'm not sure if this answers your question, but I've also had a few patients simply referred to me by plastic surgeons I wasn't even familiar with who thought their trauma patient would benefit most by getting a prosthetic ear.
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This is an MD question. :)
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Well, yes. But not in the same type of way a transplant would be rejected. Titanium screws are surgically implanted in the skull for retention purposes. Hardware is attached to the prosthetic ear (either magnets or clips). This is how the ear connects to the head. Unfortunately, it is common for the implants (in the skull) to be rejected. In that case, it is removed and another implant may be placed elsewhere. Sometimes, surgeons put in an extra implant in anticipation of one of them rejecting, so there will still be enough surviving implants that the ear will attach securely.
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