Clinical Evaluation & Treatment Planning Flashcards

A patient presents with agenesis of the left ear (microtia grade III) without prior surgical intervention. Which treatment planning consideration is MOST critical before fabricating a prosthetic ear?

Answer: Assessing whether surgical auricular reconstruction is preferred or appropriate before prosthetic options

Surgical auricular reconstruction should be evaluated and potentially attempted before committing to a prosthetic ear, as surgery may affect the residual tissue available for prosthetic retention.

Which muscle group must be carefully evaluated for paralysis or paresis when treatment planning for a facial prosthesis near the periorbital region?

Answer: Facial nerve (CN VII) innervated muscles including orbicularis oculi

CN VII palsy affecting orbicularis oculi impairs eye closure and blink reflex, directly influencing orbital prosthesis design and ocular surface protection planning.

A patient's treatment record shows prior silicone adhesive use causing recurrent contact dermatitis. Which alternative retention strategy should be prioritized in the revised treatment plan?

Answer: Evaluating osseointegrated implant retention or mechanical retention via spectacle frames

Recurrent adhesive-related dermatitis requires eliminating adhesive contact through implant-based or mechanical retention systems.

During color analysis for a silicone facial prosthesis, the anaplastologist evaluates the patient under multiple light sources. Why is metamerism a critical concern in this process?

Answer: Colors that match under one light source may appear mismatched under different lighting conditions

Metamerism describes how two colors appear matched under one light source but differ under another, making multi-light color verification essential in prosthetic color matching.

When establishing the treatment plan for an ocular prosthesis patient with enucleation and an orbital implant in place, which assessment confirms adequate implant motility transmission?

Answer: Assessing the range and amplitude of conjugate movement of the conformer or prosthesis with the implant

Assessing conformer or prosthesis movement in concert with implant rotation confirms that motility coupling is adequate for dynamic prosthetic eye movement.

A comprehensive treatment plan for a complex facial prosthesis case should ideally be developed within which clinical framework?

Answer: An interdisciplinary team including surgeon, oncologist, prosthodontist, and mental health professional as needed

Complex facial prosthetic cases require coordinated interdisciplinary team planning to address surgical, oncological, prosthetic, and psychosocial dimensions comprehensively.

During the functional assessment phase of treatment planning, which activity of daily living is most directly relevant when evaluating a patient receiving a partial hand prosthesis?

Answer: Pinch strength, grip pattern, and tasks requiring fine motor coordination

Pinch strength, grip patterns, and fine motor task performance directly determine the functional design requirements for a partial hand prosthesis.