Extraoral maxillofacial rehabilitation of patients with large midfacial defects has always perplexed the prosthodontist. Retention of such large facial prosthesis can be challenging due to its increased size and weight. This clinical report describes the technique of prosthetic rehabilitation of a patient with large midfacial defect using a hollow light-weight intraoral-extraoral combination prosthesis utilizing rare-earth magnets as a retention tool. This prosthesis dramatically improved the function, esthetics and comfort, thus, enabling him to lead a normal life.
How to cite this article
Geethu RM, Anilkumar S, Rajesh C, Uniyal S. Prosthetic Rehabilitation of a Lateral Midfacial Defect Combined with Hemimandibulectomy using Multiple/Sectional Prosthesis. Int J Prosthodont Restor Dent 2014;4(4):131-137.
s163 retrospectively reviewed patients who underwent a primary TKA for osteoarthritis from the Premier Perspective Database between 2014 and 2016. Patients with a bicruciate knee system were identified using "journey"-related appropriate keywords from billing records and compared against other TKA patients who did not meet the keywords' criteria. Patients were excluded if they were < 21 years of age; outpatient hospital discharges; evidence of revision TKA; bilateral TKA in same discharge or different discharges. 1:1 Propensity Score Matching was used to control patients, hospital (except hospital bed-size) and clinical characteristics. Generalized Estimating Equation (GEE) model accounted for hospital bed-size with appropriate distribution and link function. Cost data were inflation-adjusted for 2016 U.S. dollar and rounded to the nearest dollar. Results: The study matched 1,692 bicruciate knee system patients with other TKA patients. Length of stay for bicruciate knee patients (mean= 2.45 days; CI= 2.38-2.52) were significantly lower than other TKA patients (mean= 2.66 days; CI= 2.59-2.74). Bicruciate knee patients were 35% (OR= 1.35; CI= 1.13-1.61; p value= < .0001) more likely to be discharged to home/home health care and 41% (OR= 0.59; CI= 0.48-0.74; p value= < .0001) less likely to be discharged to a Skilled Nursing Facility than other TKA patients. Mean total hospital costs were significantly lower for bicruciate knee patients
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