Certified Clinical Anaplastologist, Artifacials, LLC, Rochester, Minnesota, USA
Presentation:
The nose knows – the artistic & technical engineering of nasal epitheses
The nose is the most prominent feature of the human face. Its size and shape tell a lot about the ethnicity, age and gender of a person. After a total oncological rhinectomy the patient experiences functional and aesthetic trauma. This paper is about the integration of key artistic and prosthetic principles into the creation of nasal epitheses, including overall observation/realism, color, fit/retention and anatomical accuracy. Artistic engineering also encompasses design, problem-solving and communication. All important components of teamwork. What is unique about these case studies is all the patients switched from adhesive retained to implant retained nasal epitheses. The presentation will follow a structured format of analyzing patient defects and their adhesive and implant retained nasal epitheses. An analytic rubric will blend the technical evaluation and artistic interpretation criteria of the patient’s epithesis into an assessment scale. This type of critique can offer productive feedback. The audience will walk away knowing that “the creation process is ongoing” and there are recommended guidelines and a rubric to provide a format for evaluation and continuous improvement.
In summary, patients respond and deal with the loss of their nose, albeit in different ways, when given the options of doing nothing, surgical reconstruction or epithetic restoration. It is a humbling experience when a patient trusts us to recreate for them the most prominent feature of the human face.
CV:
Mrs. G. Duncan has had a dual career and boards certifications in medical illustration and clinical anaplastology. For over 40 years, Mrs. G. Duncan has used her knowledge of surgery, anatomy and pathology to create medical, scientific images and models and fit life-like prostheses for patients missing part of their face. Mrs. G. Duncan received a Bachelor of Fine Arts degree from Tulane University, New Orleans, LA in 1973. In 1977 she received a Master of Science degree in Medical Illustration from the Medical College of Georgia, Augusta, Georgia.
Mrs. G. Duncan did her clinical training in facial epithetics in the department of Mund, Kiefer-, Gesichtchirurgie at the Universitaetsklinikum in Homburg, Germany. Her ability to combine art, science, medicine and technology lead her to establish Graphica Medica Institute for Medical Illustrations and Facial Epitheses in Homburg Germany in 1981. In 1991 she moved Graphica Medica, LLC to Rochester, Minnesota/USA – continuing to train interns and provide facial and somatic prostheses for patients. In 2016 Mrs. G. Duncan sold Prosthetics at Graphica Medica and established Artifacials, LLC. As a consultant Mrs. G. Duncan’s focus is speaking about the artistry and design of facial prosthetics.
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