PROSTHODONTIC MANAGEMENT OF MID- FACIAL DEFECT – A CASE REPORT

Background and aim:Mid-facial defect is one of the most disfiguring and impairing defects. A design of prosthesis that is aesthetic and stable can be precious to a patient who has lost part of his face due to surgical excision. Prosthesis can restore the patients’ self-esteem and confidence, which affects the patients and their life style. The aim of this case report is to describe a technique of mid-facial silicone prosthesis fabrication.Technique:To provide an aesthetic and stable facial prosthesis, the extra-oral prosthesis was fabricated using silicone material, while the intra-oral defect was restored with obturator prosthesis, and then both prostheses were connected and attached to each other using magnets.Discussion:This clinical report describes the rehabilitation of a large mid-facial defect with a two-piece prosthesis. The silicone facial prosthesis was made hollow and lighter by using an acrylic framework. Two acrylic channels were included within the facial prosthesis to provide the patient with clean and patent airways.Clinical relevanceA sectional mid-facial prosthesis was made and retained in place by using magnets, which resulted in a significant improvement in the aesthetical and functional outcome without the need for plastic surgery. Silicone prostheses are reliable alternatives to surgery and should be considered in selected cases.

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Adolescence noma with facial defect and trismus (case report)

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2017.02.515 ◽

2017 ◽

Vol 46 ◽

pp. 149

Author(s):

M. Sylvyana ◽

S. Adiantoro ◽

A. Arumsari

Keyword(s):

Case Report ◽

Facial Defect

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Early Prosthetic Management of Maxillectomy, Hemimandibulectomy Patient with a Lateral Mid Facial Defect: A Case Report

The Journal of Indian Prosthodontic Society ◽

10.1007/s13191-012-0238-2 ◽

2012 ◽

Vol 14 (3) ◽

pp. 321-325

Author(s):

Jayasree Komala ◽

Dileep Nag Vinnakota ◽

Tirupathi Reddy Banda ◽

Sriharsha Babu Vadapalli

Keyword(s):

Case Report ◽

Facial Defect

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Prosthetic therapy of the lateral facial defect

Stomatoloski glasnik Srbije ◽

10.2298/sgs1203164l ◽

2012 ◽

Vol 59 (3) ◽

pp. 164-168

Author(s):

Vojkan Lazic ◽

Igor Djordjevic

Keyword(s):

Case Report ◽

Aesthetic Outcome ◽

Neck Trauma ◽

Prosthetic Reconstruction ◽

Maxillary Defect ◽

Facial Defect ◽

Facial Defects ◽

The Stability ◽

Mandibular Movements ◽

Obturator Prosthesis

Introduction. Facial defects may arise as a result of head and neck trauma or facial tumor ablation. Minor defects can be reconstructed surgically while large defects usually need combined surgical and prosthetic reconstruction. The aim of this study was to present the prosthetic reconstruction of the lateral facial defect using facial colored acrylic prosthesis. Case Report. A male patient with a maxillary defect on the left side and a large lateral facial defect on the same side received an obturator prosthesis as well as a facial colored acrylic prosthesis (facial-orbit) retained by the glasses frame. Satisfied aesthetics was accomplished. However, the stability of the prostheses during mandibular movements could not be achieved which resulted in saliva leakage over the lips. Conclusion. Better functional and aesthetic outcome could be achieved by combined surgical and prosthetic treatment of such large facial defect.

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Causes of failure in the use of a pedicled latissimus dorsi musculocutaneous flap in delayed reconstruction of a scalp and facial defect: a case report

Nigerian Journal of Plastic Surgery ◽

10.4314/njpsur.v7i2.69874 ◽

2011 ◽

Vol 7 (2) ◽

Author(s):

BO Akinbami ◽

OA Akadiri ◽

EI Chukwuma

Keyword(s):

Case Report ◽

Latissimus Dorsi ◽

Musculocutaneous Flap ◽

Facial Defect ◽

Latissimus Dorsi Musculocutaneous Flap ◽

Delayed Reconstruction ◽

Causes Of Failure

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Posterior Microphthalmia, Peripheral Pigmentary Retinal Changes, Yellow Lesions, and Cleft Lip: A Case Report and Literature Review

Case Reports in Ophthalmological Medicine ◽

10.1155/2019/8392329 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Nasser G. Alsaedi ◽

Khalid Alrubaie

Keyword(s):

Case Report ◽

Cleft Lip ◽

Pigment Epithelium ◽

Genetic Defect ◽

Genetic Mutation ◽

Posterior Pole ◽

Developmental Defects ◽

Facial Defect ◽

History Of ◽

Cleft Lip Repair

Purpose. Posterior microphthalmia is a sporadic or inherited developmental ocular anomaly that may occur isolated or in association with multiple ocular and systemic anomalies. This report documents a case of posterior microphthalmia with atypical presentation including white dots in the posterior pole in addition to systemic anomalies including facial defect that can represent an underlying genetic mutation. Method. Case report. Results. A 29-year-old male with high hyperopia and history of bilateral clear lens presented with pigmentary changes and white-yellow dots in the posterior pole in both eyes. Patient had a history of cleft lip repair. A complete ocular evaluation including A/B scan and optical coherence tomography confirmed the diagnosis of posterior microphthalmia with a retinitis pigmentosa like fundus and drusen deposits in the subretinal pigment epithelium. Conclusion. The white-yellow drusenoid deposits in the posterior pole in association with posterior microphthalmia are poorly documented in the literature. Cases of craniofacial developmental defects in association with posterior microphthalmia may represent a genetic defect.

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Conventional Approach for Fabrication of Orbital Prosthesis: A Case Report

Birat Journal of Health Sciences ◽

10.3126/bjhs.v3i2.20969 ◽

2018 ◽

Vol 3 (2) ◽

pp. 495-499

Author(s):

Tanuja Singh ◽

Suraj Ram Bhakta Mathema ◽

Pratik Manandhar

Keyword(s):

Psychological Distress ◽

Case Report ◽

Facial Expression ◽

Present Article ◽

Acrylic Resin ◽

Conventional Technique ◽

Conventional Approach ◽

Vital Organ ◽

Facial Defect ◽

Orbital Prosthesis

Facial defect rehabilitation is a very critical task which requires personalized design of the prosthesis for each patient. Eyes are vital organ not only for vision but also for the facial expression. Disfigurement due to loss of an eye and associated structures may cause physical and psychological distress to the patient. Rehabilitating such patient with a removable orbital prosthesis is an economical and patient-friendly procedure which restores the patient's social as well as the cosmetic value. The present article describes a conventional technique for the fabrication of a spectacle retained acrylic resin orbital prosthesis providing accurate and effective rehabilitation. BJHS 2018;3(2)6:495-499.

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