Anaplastologist at the Berlin Center for Artificial Facial Parts / BZkG, Germany
Presentation
Anaplastological and surgical challenges in nasal prostheses with special consideration of midface defects
(Joint presentation with Dr. med. Dr. med. dent. Kilian Kreutzer)
Autologous reconstruction of the nose is one of the earliest descriptions of facial plastic and reconstructive surgery. Despite all medical advances, epithetic reconstruction remains a viable treatment alternative for a variety of indications and patient groups.
When epithetically shaping a patient’s nose, it is not only important to achieve a lifelike but also a functional replica of the body replacement part. In addition, the patient’s habitus of laughing, frowning or raising the eyebrows must be taken into account for the movements at the transition from the cheek to the epithesis.
In addition to the selection of the correct anchoring system, factors such as the quality of bone and soft tissue, the consequences of radiation and compliance must be taken into account from the outset during surgical planning. Extensive bone defects of the midface require very patient-specific solutions in this context.
Several patient examples will be presented who have undergone different epithetic treatments over a long period of time. The surgical preparation of the defect area, the choice of anchoring method and the extension and design of the epithesis will be discussed. The interdisciplinary lecture reflects the close communication that is required when treating these patients.
CV:
Mrs. Motzkus has been working as an anaplastologist since 1990. Since 2004, she has been working together with Kerstin Menzel in an epithetics practice group, the Berlin Center for Artificial Facial Parts / BZkG.
She is a founding member and vice president of the German Federal Association of Epithetics. (DBVE)
Together with the Oral and Maxillofacial Surgery Department of the Charité Campus Virchow-Klinikum, she has been involved in several research projects. These included the development of an active (=mobile) ocular epithesis. Together with the University of Antwerp, she has conducted research into the acceptance and design of a
“designed epithesis”.