ABSTRACT
With previous prosthetic restorations of bilateral maxillary resections, tissue erosion and bleeding on the cephalic parts of the cavity have been caused by movement and pressure from the prosthesis. Retention of a prosthesis is a major determinant in its successful use. Physical and psychologic stresses are common when one is unable to use a prosthesis comfortably. The use of a musculocutaneous flap and an obturator prosthesis had provided near-immediate reconstruction of a massive midfacial defect. This method of reconstruction resulted in soft tissue replacement for appearance and functional rehabilitation of the upper lip while maintaining sound oncologic principles.
Subject(s)
Maxillary Sinus Neoplasms/rehabilitation , Maxillofacial Prosthesis , Nose , Prostheses and Implants , Adult , Bone Nails , Humans , Magnetics , Male , Maxillary Sinus Neoplasms/surgery , Melanoma/rehabilitation , Melanoma/surgery , Nose/surgery , Nose Neoplasms/rehabilitation , Nose Neoplasms/surgery , Palatal Neoplasms/rehabilitation , Palatal Neoplasms/surgery , Palatal Obturators , Prosthesis Failure , Prosthesis Fitting , Surgery, Plastic/methods , Surgical Flaps/methodsABSTRACT
The use of tissue-integrated fixtures for the retention of an extraoral prosthesis has simplified the placement, removal, and cleaning of the prosthesis by the patient. Tissue evaluation, structural designs, and retention mechanisms, combined with patient compliance and the ability to perform hygiene around retentive substructures, has produced an array of new problems. Clinical and technical problems are presented with techniques used in their resolution.
Subject(s)
Nose Neoplasms/rehabilitation , Nose , Prostheses and Implants/adverse effects , Prosthesis Design/adverse effects , Eye, Artificial/rehabilitation , Female , Humans , Hygiene , Inflammation/etiology , Magnetics , Male , Maxillofacial Prosthesis , Patient Compliance , Prosthesis Design/psychology , Prosthesis Failure , Self Care/adverse effectsABSTRACT
Osseointegrated dental implants provide a viable alternative of tooth replacement. Although certain patients may greatly benefit from this method of treatment, implants are not a panacea. Success is the culmination of good case selection, thoughtful treatment planning, meticulous clinical and technical attention to detail, and proper maintenance care.
