Early Prosthetic Management of Maxillectomy, Hemimandibulectomy Patient with a Lateral Mid Facial Defect: A Case Report

Komala, Jayasree; Vinnakota, Dileep Nag; Banda, Tirupathi Reddy; Vadapalli, Sriharsha Babu

doi:10.1007/s13191-012-0238-2

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…There are many methods of retaining orofacial prosthesis in the literature using magnets[ 7 10 ] and elastic straps attached to head cap. [ 5 ] However, in the present case, as the skin surrounding the maxilla and mandible was relatively immovable, the prosthesis was retained with anatomical undercuts and tissue adhesive.…”

Section: Discussionmentioning

confidence: 99%

Prosthetic rehabilitation of a geriatric patient with squamous cell carcinoma of the buccal mucosa: A report of clinical challenges

Adaki

Raikar

Shigli³

et al. 2017

Int J Pharma Investig

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Objective:This article aims to highlight the rehabilitation of a geriatric patient with an orofacial cheek defect by an extraoral silicone prosthesis.Methodology:Structured extra- and intra-oral examination of tissues coupled with a justified choice of impression materials, techniques, and prosthetic rehabilitation with a high-temperature vulcanizing silicone was done.Results:The presence of compressible tissues, static appearance of the prosthesis during patient's facial movements, variability in complexion of the skin around the defect, and manipulating heat-vulcanized silicone were the challenges faced during clinical procedures. Rehabilitation of orofacial defects is a challenge to the maxillofacial prosthodontist due to limited material properties, soft-tissue mobility, compromised retention of prostheses, and poor patient acceptance. The fabrication of a facial prosthesis is as much an art as it is science. Prosthetic form, coloration, and texture of the prosthesis must be indiscernible from the surrounding tissues. Prosthetic reconstruction helps in restoring functional disability and aids in raising the morale of the patient. Prosthetic options of rehabilitation include interim and definitive conventional adhesive-retained or implant-retained prostheses. Initially, vulcanite rubber and acrylic resins were used for reconstruction.Conclusion:We report clinical challenges during extraoral rehabilitation of orofacial tissues with a silicone cheek prosthesis such as impression making and shade matching during restoration in a geriatric patient. The use of silicone maxillofacial elastomers allowed intrinsic, extrinsic coloring and ease of construction.

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Section: Discussionmentioning

confidence: 99%

Prosthetic rehabilitation of a geriatric patient with squamous cell carcinoma of the buccal mucosa: A report of clinical challenges

Adaki

Raikar

Shigli³

et al. 2017

Int J Pharma Investig

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“…The prosthesis was prepared using silicone material as it offers easy customization, less weight, tissue compatibility, easy fabrication, extrinsic and intrinsic coloring, and good dimensional stability[2]. There are many ways of supporting the cheek prosthesis like magnets[2,3], headgears and spectacles which enhance the seal and esthetics of the patient. In this present case, an extraoral prosthesis was given due to restricted mouth opening and is retained with tissue adhesive or elastic straps.…”

mentioning

confidence: 99%

Facial Rehabilitation of a Patient with Failed Buccal Mucosal Graft Using Silicone Cheek Prosthesis - A Case Report

Kumar¹,

Rajagopal²,

Harshakumar³

et al. 2022

Act Sci Otal

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Objective: This article described the facial rehabilitation of a patient with failed buccal mucosal graft using silicone cheek prosthesis.Methodology: Extra-oral defect in the left cheek, in which impression was made with irreversible hydrocolloid material. Wax trial done for the defect. Then the silicone prosthesis was processed using Room temperature vulcanized (RTV) material. Results:The prosthesis was prepared using silicone material as it offers easy customization, less weight, tissue compatibility, easy fabrication, extrinsic and intrinsic coloring, and good dimensional stability [2]. In this present case, an extraoral prosthesis was given due to restricted mouth opening which was retained with tissue adhesive and elastic straps. Since the defect was large and tissue was movable next to defect, tissue adhesive was used as a retentive aid for the prosthesis. The seal and adaptability of the prosthesis was checked by instructing the patient to sip water during which no leakage of water was observed. The patient was satisfied due to proper color matching life-like appearance and ability to eat and drink with the silicone prosthesis in situ. Moreover the prosthesis alleviated the social stigma of the patient. Conclusion:It is always a challenge for the prosthodontists to provide a better quality of life in case of surgically resected patient. In order to choose better aids for retention, specialists needs to familiarize all the available options used for prosthodontic rehabilitation.Thorough evaluation and proper treatment planning can give acceptable prosthesis to improves esthetics and functions of the patients.

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Early Prosthetic Management of Maxillectomy, Hemimandibulectomy Patient with a Lateral Mid Facial Defect: A Case Report

Cited by 2 publications

References 8 publications

Prosthetic rehabilitation of a geriatric patient with squamous cell carcinoma of the buccal mucosa: A report of clinical challenges

Prosthetic rehabilitation of a geriatric patient with squamous cell carcinoma of the buccal mucosa: A report of clinical challenges

Facial Rehabilitation of a Patient with Failed Buccal Mucosal Graft Using Silicone Cheek Prosthesis - A Case Report

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