Prosthetic Rehabilitation of a Lateral Midfacial Defect Combined with Hemimandibulectomy using Multiple/Sectional Prosthesis

Geethu, RM; Anilkumar, Shreya; Rajesh, Chaugule; Uniyal, Shashank

doi:10.5005/jp-journals-10019-1120

Cited by 4 publications

(7 citation statements)

References 23 publications

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“…The patient reported in this article lost his right maxilla, zygoma-associated structures, and orbital contents due to resection of mucoepidermoid carcinoma. This type of midfacial defect can be managed by using zygomatic and pterygoid implants [ 10 - 11 ], combination prostheses [ 5 ], magnets, adhesives, elastics, spectacles, magnets, key-lock mechanisms, and the combinations of many other auxiliary retentive aids. According to Gaur V et al using one-piece implants with bicortical anchorage could be an additional tool in maxillofacial defect reconstruction [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…This type of midfacial defect can be managed by using zygomatic and pterygoid implants [ 10 - 11 ], combination prostheses [ 5 ], magnets, adhesives, elastics, spectacles, magnets, key-lock mechanisms, and the combinations of many other auxiliary retentive aids. According to Gaur V et al using one-piece implants with bicortical anchorage could be an additional tool in maxillofacial defect reconstruction [ 5 ]. Vega LG et al suggested that using zygoma implants to reconstruct an acquired maxillary defect is a safe, predictable, and cost-effective treatment option [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…These maxillofacial defects are difficult to restore with a prosthesis because of a lack of bony support, scar tissue formation, and their enormous size [2]. Alternative retention strategies include eyeglasses, elastic bands, magnets, adhesives, combinations of the above, and implants [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Rehabilitation of a Midfacial Defect Using a Two-Piece Maxillofacial Prosthesis: A Case Report

Vadlamudi¹,

Bathala²,

Tammineedi³

et al. 2022

Cureus

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Maxillofacial defects and their rehabilitation are a major concern in this socially productive era. The rehabilitation of these massive defects in the oral and maxillofacial region poses a challenge to the prosthodontist in terms of selection of material, retentive aids, the adaptive capability of the patient, and cost. This case report describes the management of the midfacial defect involving the orbit, zygoma, maxilla, and their soft tissue counterparts with a removable silicone extraoral compartment and an acrylic intraoral compartment, which are retained with strong cobalt samarium magnets, an elastic loop around the occiput, and spectacles. The maxillofacial prosthesis fabricated for this patient restored the patient's facial esthetics, speech, dental articulation, lip support, mastication, and anterior maxillary seal.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rehabilitation of a Midfacial Defect Using a Two-Piece Maxillofacial Prosthesis: A Case Report

Vadlamudi¹,

Bathala²,

Tammineedi³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…Retention of the prosthesis is also a difficult problem because of its size and weight; securing it in place can be a formidable task (4,11,58,59). …”

Section: Extraoral Prostheses:-mentioning

confidence: 99%

“…Rehabilitation with prosthetic restoration helps in speech and swallowing to be restored to near normal level and control of saliva and mastication may be improved. The cosmetic appearance too improves (4,11,59). …”

Section: Extraoral Prostheses:-mentioning

confidence: 99%

Maxillofacial Prosthetics Part-1: A Review.

Gupta¹,

Verma²,

Dubey³

et al. 2017

IJAR

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Maxillofacial and Oral Rehabilitation of an Oncologic Patient: Case Report

Volpato¹,

Volpato²,

Costa³

et al. 2023

International Journal of Prosthodontics and Restorative Dentistry

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CASE REPORTweekly, for 12 weeks, along with three-dimensional radiotherapy, for 33 days, with a total dose of 5940 cGy.Later prosthetic rehabilitation was planned with a one-piece closed bulb acrylic palatal obturator and mandibular conventional BackgroundSquamous cell carcinoma is a malignant tumor of epithelial origin which presents cellular atypia and represents 90% of malignant neoplasms within oral neoplasms. It is usually diagnosed late, thus making it difficult to treat and prone to produce debilitating sequelae. It affects men more often, with a peak incidence in the sixth and seventh decades of life, and smoking increases the risk of developing it. [1][2][3] Treatment followed for squamous cell carcinoma is surgery, radiotherapy, chemotherapy, or a combination of them. It varies according to the tumor's size, location, clinical course, and patient's health status. 1 As it is an invasive neoplasm with the possibility of recurrence, surgery can result in disfigurement, and repairing such defect with plastic surgery is unfeasible. In these cases, dental and maxillofacial prostheses are successful treatment options for patients to improve function, esthetics, social interaction, and quality of life. 4 This case report presents the rehabilitation of a patient who had undergone hemimaxillectomy for the treatment of squamous cell carcinoma with maxillofacial and dental prostheses. case descriptionA 59-year-old Caucasian male patient came to the Hospital de Câncer de Mato Grosso, Cuiaba, Mato Grosso, Brazil, with a history of an ulcerated lesion in the right nasolabial sulcus. The patient reported smoking for the last 30 years. On examination, it was found that the lesion was extending to the maxilla and measuring approximately 2 × 2 cm in diameter. The patient reported associated pain for 4 months. The plastic surgeon performed the initial assessment, and the patient was referred to the head and neck surgeon. An incisional biopsy was planned and performed under local anesthesia. The histopathological diagnosis confirmed it as maxillary squamous cell carcinoma (Fig. 1).Around 2 months later, the patient underwent surgical intervention under general anesthesia for tumor resection. Hemimaxillectomy was performed, which led to the loss of structures in the middle third of the right side of the face, including part of the nasal appendage (Fig. 2). Adjuvant chemotherapy with cisplatin was started 20 days after surgery and was performed

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Prosthetic Rehabilitation of a Lateral Midfacial Defect Combined with Hemimandibulectomy using Multiple/Sectional Prosthesis

Cited by 4 publications

References 23 publications

Rehabilitation of a Midfacial Defect Using a Two-Piece Maxillofacial Prosthesis: A Case Report

Rehabilitation of a Midfacial Defect Using a Two-Piece Maxillofacial Prosthesis: A Case Report

Maxillofacial Prosthetics Part-1: A Review.

Maxillofacial and Oral Rehabilitation of an Oncologic Patient: Case Report

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