Guttal, Vohra, Pillai, Nadiger thesis was completed and the nostril holes were cut open for air exchange.9 The margins of the wax prosthesis were fin- ished to create an illusion of continuity with skin. An eyeglass frame was also worn with the wax try- on, anticipating its need for the retention of the final prosthesis. Eyeglasses are a good means of providing retention since they additionally serve to conceal the borders of the prosthesis.10 Wax up of the interim nasal prosthesis was invested and the wax boiled out. Heat polymeriz- ing clear acrylic resin was packed and processed. Poly(methyl methacrylate) resin has been recom- mended as a possible material for use in fabri- cating a provisional prosthesis.11 Intrinsic color- ing was incorporated in the clear acrylic resin to match the basic skin tone, using an acrylic-based paint (Fevicryl, Pidilite Industries Ltd, Mumbai, In- dia). The prosthesis was finished to thin the bor- ders and to blend with the surface of the skin. Thereafter, it was adapted to the defect area. The eyeglass frame and the prosthesis were aligned properly on the bridge of the nose. A cyanoacry- late adhesive (Laborfix; Bracon Ltd, Sussex, Eng- land) was used to attach the eyeglass frame to the prosthesis (Figure 4). The patient had small, pigmented dots on the surface of the skin, which was matched by extrinsic coloring using acrylic colors (Fevicryl). This enhanced the esthetics, and the acrylic resin prosthesis resulted in a life-like appearance (Figures 5 and 6). After delivering the prosthesis, home-care instructions were given. The patient returned 2 weeks later for a follow- up evaluation. Four months later the patient felt that the fit of the prosthesis was not the same as compared to that of the initial placement. It was evident that the fit of the prosthesis had changed accordingly because of the tissue changes occur- ring during the healing phase. The tissue surface was relined with a soft tissue resilient liner. In ad- dition, at this stage, the preparation of a definitive prosthesis was discussed with the patient. An im- plant-retained silicone prosthesis was suggested to the patient and the approximate estimation of the treatment time and costs was given. After 6 months of follow-up, the patient is waiting to start using a definitive prosthesis with the option of an implant-retained silicone nose, depending on fi- nancial arrangements being made. October 2010 - Vol.4 dIscuIon Among facial defects, nasal defects produce severe cosmetic impairment, since the nose is a prominent feature of the human face.12 Retentive media constitute an important factor for the satis- factory rehabilitation of these defects. In the past, most nasal prostheses were retained with strings or straps anchored behind the head,13 intraoral or intranasal extensions,13-15 and gold strings or leaves.16,17 Spectacle frames have been popular for anchoring nasal prostheses, and preferred even today, when patients express a desire for an economical treatment solution. Today, prosthetic replacements are secured with adhesives that are readily available, easily applied, and provide sat- isfactory retention for limited periods of time.18 However, for an interim nasal prosthesis, specta- cle frame retention may be preferred, as was per- formed in the presented clinical situation. Acrylic resin nasal prosthesis with spectacle retention was a viable treatment provided to the patient. Al- though resins have shortcomings of being inflex- ible and having esthetic limitations, for an interim nasal prosthesis, it is an ideal material since it is inexpensive. rEFErEncEs 1. Kumar N, Saxena YK. Two cases of rare presentation of basal cell and squamous cell carcinoma on the hand. In- dian J Dermatol Venereol Leprol 2002;68:349-351. 2. Rosso S, Zanetti R, Martinez C. The multicentre south Eu- ropean study ‘Helios II’: Different sun-exposure pattern in the aetiology of basal cell and squamous cell carcinoma of the skin. Br J Cancer 1996;73:1447-1454. 3. Fink JA, Akerman E. Non melanotic malignant skin tu- mours of the hand. Hand Clin 1995;11:255-264. 4. Glass LF, Fenske NA, Jaroszeski M. Bleomycin-mediated electro chemotherapy of basal cell carcinoma. J Am Acad Dermatol 1996;34:82-86. 5. McGuirt WF, Thompson JN. Surgical approaches to malignant tumours of the nasal septum. Laryngoscope 1984;94:1045-1049. 6. Thawley SF, Batsakis JG, Lindherg RD, Panje WR, Donley S, editors. Comprehensive management of head and neck tumours. 2nd ed. St. Louis: Elsevier; 1998 p. 526-527. 7. Jacobs C, editor. Carcinoma of the head and neck. Boston: Kluwer Academic Publishers; 1990 p. 83-113, 235-237. 8. Marunick MT, Harrison R, Beumer J. Prosthodontic reha- bilitation of midfacial defects. J Prosthet Dent 1985;54:553- 560. 485 European Journal of Dentistry