Responses: Face Mask Fabrication

Responses: Face Mask Fabrication

jerry & kim

3/12/2007

Dear List,

The patient was casted today using 4 fast set, 4 layers thick, stockinette,
Vaseline for the brows & marker. The procedure went very well & was easy on
the patient, much better than the alginate I had planned for him. I will be
using 3/16 Vivak with a set of thin elastic straps to hold it in place.
Thanks again to the list for your help.

Gerald L. Martin CPO, LPO

Tamarac, FL USA

Here are the responses to my original question:


Dear List,
I need a refresher on casting & fabricating a facemask for broken nose. Pt
is an athlete of course & needs it ASAP. I will be using alginate & plaster
strips for the impression, scanning would be nice but not an option.
Thanks in advance

Gerald Martin, LPO
Tamarac, Fl.

----- Original Message -----
From: Frank Frankovitch < <Email Address Redacted> >
To: 'jerry & kim' < <Email Address Redacted> >
Sent: Wednesday, March 07, 2007 3:26 PM
Subject: RE: [OANDP-L] clinical question: face mask fitting


Forget alginate, it's typically only necessary when you're trying to capture
fine topography (i.e. burn masks). And if you convinced you need this level
of detail, consider 2 part silicone mixes: they're expensive but no mess, no
creating levees around face, no straws up the nose, etc. Remember Fx masks
are for gross/large pressure redistribution, they could almost be pre-fab'd.
Just use nice, especially creamy (Cellona maybe?), non-elastic, medium set
plaster and liberally apply separating agent everywhere, especially
hairline/eyebrows (Vaseline or might consider placing small/thin strip of
not overly sticky tape over brows if patient is wolf-boy or of Irish or
Armenian descent). Keep plaster pieces large as possible: large pieces over
cheeks/zigomatic arches and forehead, connect with smaller strips over nose
bridge and lateral borders. No worries if pieces are too large as all
borders of wet plaster bandage may be bunched up as it sets to increase
stability. Keep tissue and clean set of addition hands ready to mop eyes.
Once firm: remove, reinforce entire splint (including over eyes) with large
pieces, build-up sides with tape or additional plaster splints if you like
to add fab time/waste $$, pour with well mixed plaster, tap to remove
bubbles, add tongue depressors if pour appears thin to avoid breaking under
vacuum, MINIMAL modifications are necessary (i.e. build-up bridge), vac
plastic, and presto-chango good-to-go. At fitting feel free to heat/contour
if your cast changed shape when setting or during pour or if plastic splayed
during fab. Again, gross pressure distribution is all we're after. Just my
2 cents.
Cheers,
Frank Frankovitch, CPO, FAAOP
PENN Prosthetics & Orthotics
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of jerry & kim
Sent: Wednesday, March 07, 2007 12:41 PM
To: <Email Address Redacted>
Subject: [OANDP-L] clinical question: face mask fitting

----- Original Message -----
From: OANDP-L automatic digest system < <Email Address Redacted> >
To: < <Email Address Redacted> >
Sent: Wednesday, March 07, 2007 12:00 AM
Subject: OANDP-L Digest - 5 Mar 2007 to 6 Mar 2007 (#2007-47)


Dear List,

I need a refresher on casting & fabricating a facemask for broken nose. Pt
is an athlete of course & needs it ASAP. I will be using alginate & plaster

strips for the impression, scanning would be nice but not an option.

Thanks in advance


Gerald Martin, LPO

Tamarac, Fl.