Abstract
Prosthetic Rehabilitation of a Huge Midfacial Defect Combined with Partial Mandibulectomy: A Clinical Report
Highlights
Literature ReviewAdvanced tumors of the maxillo-mandibular region occasionally require extensive surgical removal in order to eradicate the disease
Carcinoma of the facial region often requires radical surgical excision, which results in varying amount of tissue loss of the facial structures
This paper describes the maxillofacial prosthetic rehabilitation of a patient having right lateral midfacial defect combined with a mandibular defect on the same side; by using a maxillary resection obturator, widened occlusal table and a facial prosthesis
Summary
Advanced tumors of the maxillo-mandibular region occasionally require extensive surgical removal in order to eradicate the disease. Pigno and Funk (2001) reported that, the prosthetic prognosis of the management of maxillary defects primarily depends on the presence, condition and amount of remaining structures such as teeth, hard palate and facial tissues, functional status, motivation and adaptability of the patient, defect characteristics such as size, location, access, contour, available undercuts, and type of tissue, lining the defect When these factors affect the prognosis, successful prosthetic management of the defect becomes more challenging according to the mentioned authors. An anatomically and chemically retaining facial prosthesis from a PDMS elastomer, and a maxillary resection obturator with the widened occlusal table on the non-operated left side, were planned. Improvements in esthetics, speak intelligibility, chewing and deglutition are achieved
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