ZCZC
BFF-54
HEALTH-BRAZIL-SCIENCE, FOCUS
Low-cost prosthesis gives Brazil cancer survivor a new face
SAO PAULO, Jan 7, 2020 (BSS/AFP) – Denise Vicentin looks in the mirror and
bursts into tears.
After losing her right eye and part of her jaw to cancer, the Brazilian
woman is getting a new face thanks to a digitally-engineered prosthesis.
“Today I can say how much better I will feel being out in the streets. I
have no words,” Vicentin, 53, tells AFP at a clinic in Sao Paulo after being
fitted with a prosthesis for a missing chunk of her face.
Researchers at Paulista University are employing smartphones and 3D
printing to create digital facial impressions used to make silicone
prostheses.
The pioneering method has slashed costs and halved production times.
“In the past, it took much longer work, hours of sculpting by hand, and the
process was very invasive, with material on the patient’s face to get an
imprint of their appearance,” says Rodrigo Salazar, the lead researcher.
“Today with cell phone pictures, we create a three-dimensional model.”
Vicentin is one of more than 50 patients treated by Salazar and his
colleagues since 2015.
The team specializes in maxillofacial prosthetics, a branch of dentistry
focused on treating people disfigured by birth defects, disease or trauma.
Their technique was published in 2016 in the peer-reviewed Journal of
Otolaryngology – Head & Neck Surgery.
– Enduring the stares –
AFP has followed Vicentin’s journey for more than a year and a half,
documenting the various stages of her physical and psychological recovery.
Her ordeal began 30 years ago when she developed a facial tumor. It was
removed twice, but it returned in a malignant form two decades later.
Gradually, she lost parts of the right side of her face — along with her
marriage and her dignity.
“When I was on the metro or train, I tried not to pay attention to the
stares,” Vicentin recalls.
“At places like the bowling alley, I felt them looking, and the person
would even leave when they saw me.”
Vicentin has difficulty eating and her speech slurs because of the loss of
her jaw. Her daughter, Jessica, acts as her interpreter.
As 3D printing developed in recent years, Luciano Dib — one of Salazar’s
supervisors and a co-researcher — got the idea to use the technique for
prosthesis models.
“I saw people at the mall do 3D printing, so I thought, ‘Why can’t we use
that for prostheses?'” he says.
– Budget tech –
Vicentin’s transformation began in 2018.
Dib implanted titanium rods in her eye socket to hold the prosthesis.
Over the next year, she underwent multiple surgeries to build up her facial
tissue.
Using a smartphone, Salazar took 15 pictures of her face from different
angles, which were used to make a three-dimensional digital model.
Using that model, a graphic designer created a mirror image of the healthy
half of Vicentin’s face.
Technicians then 3D-printed a prototype prosthesis which they used to make
the final one from silicone, resin and synthetic fibers.
To make the prosthesis as real-looking as possible, Salazar and his
colleagues carefully matched its coloring to Vicentin’s skin and blue-green
eye.
The process for making the final prosthesis took 12 hours — half the time
of conventional methods.
But it was spread out over a year because of Vicentin’s surgeries.
She received the completed prosthesis in early December. The small egg-
sized piece fit perfectly, with magnets clipping it to the titanium implants.
Conventional techniques for making prosthesis models involve equipment
costing up to $500,000, he says. Their method requires a computer and a
smartphone.
“The method demonstrates that you don’t need big investments to use
advanced technology,” Salazar says.
– ‘So happy’ –
Next year, Dib and Salazar plan to open a treatment center for facial
prosthetic rehabilitation built by Paulista University and a non-profit
organization which they founded, called Plus Identity.
They have a waiting list of potential patients.
Eventually, Dib hopes 3D printing can be used to make the actual silicone
prostheses.
“In a very short time, we will be able to assist the patient on the spot
with a printed prosthesis,” Dib says.
For Vicentin, the journey is not yet over. She needs further treatment to
restore her jaw and top lip.
But for now, she is overjoyed.
“It was a long time looking at a face which was missing a piece, so I am so
happy,” she tells AFP after spending her first night at home with the
prosthesis.
“I only took it off to clean it — I even slept with it.”
BSS/AFP/IJ/1720 hrs