A large maxillofacial prosthesis for total mandibular defect: a case report

We successfully fabricated a large maxillofacial prosthesis for replacement of a total mandibular defect resulting from surgical failure to reconstruct the mandible. Although a number of reports have described procedures for fabricating midfacial prostheses, there is little information on prostheses...

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Bibliographic Details
Published in:Japanese journal of clinical oncology 1999-05, Vol.29 (5), p.256-260
Main Authors: Ota, Y, Ebihara, S, Ooyama, W, Kishimoto, S, Asai, M, Saikawa, M, Hayashi, R, Haneda, T, Ebihara, M, Kimata, T, Uchiyama, K, Tsunekuni, T, Ogawa, K
Format: Article
Language:English
Subjects:
Female
Humans
Mandible - surgery
Mandibular Diseases - etiology
Mandibular Diseases - surgery
Maxillofacial Prosthesis
Maxillofacial Prosthesis Implantation - methods
Middle Aged
Osteoradionecrosis - etiology
Osteoradionecrosis - surgery
Reconstructive Surgical Procedures
Tongue Neoplasms - radiotherapy
Tongue Neoplasms - surgery
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Summary:We successfully fabricated a large maxillofacial prosthesis for replacement of a total mandibular defect resulting from surgical failure to reconstruct the mandible. Although a number of reports have described procedures for fabricating midfacial prostheses, there is little information on prostheses to compensate for total loss of the mandible. A 54-year-old woman was referred to the Dentistry and Oral Surgery Division of the National Cancer Center Hospital with total loss of the mandible and the surrounding facial soft tissue. The facial prosthesis we used to treat this patient is unique in that it is adequately retained without the use of extraoral implants and conventional adhesives. This prosthesis is retained by the bilateral auricles and the remaining upper front teeth. We present details of the design of this large silicone maxillofacial prosthesis, with which we successfully rehabilitated the patient.
ISSN:0368-2811
1465-3621
DOI:10.1093/jjco/29.5.256