Introduction to Biomedical Prosthetics and Rehabilitation (SPE403)

10 credits

Aim of this module

This module will provide the trainee with an introduction to the principles and scope of biomedical prosthetics and rehabilitation in caring for patients with congenital and acquired defects. They will undertake treatment planning and the manufacture of a range of common prostheses. Introduce the trainee to the role of a maxillofacial prosthetist in caring for patients requiring prosthetic reconstruction and rehabilitation, the range of prostheses that can be prescribed and manufactured, and  demonstrate the understanding in the provision of a prosthesis for a patient.

  1. Use a range of imaging modalities, computer modelling and physical examination to recognise both normal and impaired facial anatomy.
  2. Identify treatment options for patients requiring facial prostheses referred to a reconstructive science service.
  3. Develop skills in the manufacture a range of facial and body prostheses.
  4. Assist in the assessment of patients referred from the breast surgery unit and production of a nipple areola complex prosthesis following post- mastectomy reconstruction.
  5. Plan and manufacture dentures and palatal obturators for edentulous (without teeth) patients.
Number Work-based learning outcome Title Knowledge
1 1,2,3,4

Apply relevant legal, professional, ethical and patient-centred guidelines when treating patients referred for prosthetic replacement of facial or breast tissues.

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2 1

Use a range of imaging modalities to identify normal and impaired anatomical features.

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3 2

Identify treatment options for patients requiring a nasal prosthesis considering the comfort, safety and wishes of the patient.

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4 2

Identify treatment options for patients requiring an auricular prosthesis, considering the comfort, safety and wishes of the patient.

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5 2

Identify treatment options for patients requiring an orbital prosthesis, considering the comfort, safety and wishes of the patient.

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6 4

Assess patients referred from the breast surgery unit following post- mastectomy reconstruction.

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7 4

Observe the recording of informed consent and how an impression for a nipple areola complex prosthesis is made.

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8 4

Assist in the manufacture a nipple areola complex prosthesis.

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9 4

Assist in the review of the patient after prosthetic rehabilitation for nipple areola complex.

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10 3

Manufacture an adhesive-retained auricular prosthesis.

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11 3

Manufacture an adhesive-retained nasal prosthesis.

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12 3

Manufacture an indwelling ocular prosthesis.

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13 1,2,3,4

Apply relevant legal, professional, ethical and patient-centred guidelines when treating patients referred for prosthetic replacement of facial

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14 5

Plan and manufacture a surgical dressing plate for an edentulous patient undergoing a hemi- maxillectomy for a stage 2 maxillary tumour.

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15 5

Plan and manufacture a surgical dressing plate for a dentate patient undergoing a partial maxillectomy for a stage 1 and 2 maxillary tumour and classify size.

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16 5

Plan and manufacture a maxillary denture with an open box obturator for an edentulous patient.

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You must complete
1 Case-based discussion(s)
1 of the following DOPS / OCEs
Assessment Title Type
Wax up a trial ear prosthesis. DOPS
Take a clinical impression of any part of the head or face. OCE

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning Outcomes

  1. Outline innovative digital imaging and manufacturing technologies in relation to device manufacture.
  2. Explain how anatomical knowledge is applied to the planning and design of prostheses.
  3. Describe the role of maxillofacial prosthetists and technologists and other colleagues and teams in the care pathways of patients referred for prosthetic rehabilitation.
  4. Analyse and criticise design factors for basic facial prostheses.
  5. Discuss the range of impression materials, techniques and the factors affecting the clinical choice in the treatment of patients requiring facial/body prostheses.
  6. Describe, critically evaluate and undertake the manufacturing procedure for simple ocular, nasal, auricular and nipple prostheses.
  7. Explain the usage, design principles and constructional techniques of palatal obturators.
  8. Describe impression techniques used for maxillary defects.
  9. Classify post-surgical maxillary defects.
  10. Explain the potential routes of transmission of infectious agents in clinical practice, mechanisms for the prevention of infection, the scientific principles of decontamination and disinfection and their relevance to health and safety policies.
  11. Know current UK legislation applicable to maxillofacial prosthetics and technology.
  12. Evaluate the underlying risk, legal and ethical requirements in the manufacture prosthetic devices.

Indicative Content

Introduction to prosthetic rehabilitation

  • Anatomy of the head and neck
  • Ocular anatomy
  • Anatomy of the breast
  • Reconstructive techniques post mastectomy

Planning and preparing for treatment

  • Indications and contraindications
  • Adherence to health and safety of patient, public, staff and self
  • Basic clinical assessment of patients
  • Awareness of psychological effects of cancer, facial disfigurement and body image, and introduction to psychological support these patients
  • Monitoring of patients during treatment
  • The requirements for accurate patient data
  • Patient confidentiality and the Data Protection Act
  • Principles of the clinical management of facial prosthetic patients, patient rights, managing patients with disabilities
  • Impression technique and materials for nipple prostheses
  • Principles of treatment planning
  • Sculptured anatomical form to match patients missing anatomical facial/body parts (i.e. ocular, auricular, nasal and nipple prostheses)
  • Iris and sclera reproduction
  • Colour science and skin colour reproduction
  • Introduction to silicone elastomers
  • Processing prostheses

In this module trainees will develop detailed learning that underpins the routine practical techniques

  • Construction of adhesive-retained auricular prosthesis
  • Construction of adhesive-retained nasal prosthesis
  • Construction of nipple prosthesis
  • Construction of ocular prosthesis

Guidelines

  • MHRA (guidance note 9, custom-made medical devices)

Calibration and quality assurance

  • Characteristics of measuring equipment and their evaluation
  • Definitions of calibration, verification and quality control
  • Use of physical quality control

Infection control

  • Communicable diseases and microbiological hazards
  • Sterilisation and disinfection methods
  • Common methods for prevention of cross-infection:
    • hand washing
    • single patient use items
    • disinfection of dental impressions and devices