Prosthetic management of a midfacial defect

Surgical ablation of a large tumor creates a defect which is technically difficult to reconstruct. Radiated tissue bed poses a challenge to reconstruction and is complicated in presence of osteoradionecrosis. This report describes a case of a 62 year old gentleman with oral cancer who underwent surg...

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Bibliographic Details
Published in:Journal of cancer research and therapeutics 2022-07, Vol.18 (3), p.853-856
Main Authors: Dholam, K, Gurav, Sandeep, Singh, Gurkaranpreet, Chatterjee, Aishwarya
Format: Article
Language:English
Subjects:
Ablation
Cancer
Care and treatment
Case studies
Complications
Complications and side effects
Maxillofacial prosthesis
Methods
Mouth cancer
Oral cancer
Oral surgery
Prosthodontics
Radiation therapy
Radiotherapy
Surgery
Tumors
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Summary:Surgical ablation of a large tumor creates a defect which is technically difficult to reconstruct. Radiated tissue bed poses a challenge to reconstruction and is complicated in presence of osteoradionecrosis. This report describes a case of a 62 year old gentleman with oral cancer who underwent surgery and radiotherapy twice. He developed an orocutaneous defect (OCD) following surgery and radiotherapy. Prosthetic rehabilitation of OCD was done. Full facial impression with irreversible hydrocolloid was made and wax sculpture made on the model obtained. Standard laboratory steps were followed for mould fabrication and maxillofacial silicone was used to fabricate the prosthesis. It was retained to the spectacle with silicone adhesives. The silicone facial prosthesis provided to the patient was easy to use, covered the defect and improved the quality of life of the patient.
ISSN:0973-1482
1998-4138
DOI:10.4103/jcrt.JCRT_1141_20