Abstract
BackgroundIn the field of craniofacial tumor surgery, an adequately performed excision, despite being a life-saving procedure, is only a first step to successful treatment. During such a procedure, the main goal is to completely remove the lesion, paying less attention to factors contributing to future rehabilitation possibilities. One ty 2of the possibilities for prosthetic rehabilitation of such cases is utilizing one-piece implants with bicortical anchorage.Case presentationThis case report presents a case of a 48-year-old patient with oral squamous cell carcinoma (OSCC). The treatment protocol consisted of radical surgery to remove the tumor, and intraoral and extraoral rehabilitation with a single framework prosthesis anchored with one-piece implants. Moreover, the intraoral stomatognathic deformity was corrected with a fixed implant-retained prosthesis, and the extraoral defect was covered with a removable epithesis.ConclusionsThe use of one-piece implants with bicortical anchorage may be an additional tool in reconstructing maxillofacial defects. Properly executed treatment may improve the esthetics, speech, masticatory function, muscle support, and the overall quality of life of patients with extensive defects in the maxillofacial region.
Highlights
In the field of craniofacial tumor surgery, an adequately performed excision, despite being a lifesaving procedure, is only a first step to successful treatment
The defects which could not be covered are restored with a craniofacial prosthesis or epithesis
Placing a nasal epithesis is a demanding procedure, and promising when compared to surgical options as a nasal septal perforation is through-and-through defect with no underlying mucoperichondrium or mucoperiosteum [8, 9]
Summary
In the field of craniofacial tumor surgery, an adequately performed excision, despite being a lifesaving procedure, is only a first step to successful treatment. During such a procedure, the main goal is to completely remove the lesion, paying less attention to factors contributing to future rehabilitation possibilities. To achieve success in all these fields, surgeons should closely cooperate with prosthetic specialists like anaplastologists [5] Their main aim is to restore a practical division between oral, nasal, or orbital cavities and cover the ablative defect, usually by vascularized free tissue transfer (VFTT) [6]. Placing a nasal epithesis is a demanding procedure, and promising when compared to surgical options as a nasal septal perforation is through-and-through defect with no underlying mucoperichondrium or mucoperiosteum [8, 9]
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