Prosthetic reconstruction of a patient with an irradiated rhinectomy and upper lip resection with a maxillofacial prosthesis and removable complete dentures: A clinical report

Elsevier

Available online 19 November 2022

The Journal of Prosthetic DentistryAuthor links open overlay panelAbstract

When surgery is performed to remove aggressive cancer, the extent of the lesion commands the amount of tissue removed. The removal of extensive tissue such as crucial landmarks complicates prosthesis design. This clinical report describes the prosthetic reconstruction of a patient who underwent tumor resection of the upper lip, anterior portion of the nasal cavity, and cartilaginous portion of the nasal septum, as well as subsequent radiation therapy. The prosthetic rehabilitation consisted of magnetic attachments, eyeglasses, and silicone adhesives. The applied technique effectively covered the site of squamous cell carcinoma removal providing natural color and form.

Section snippetsClinical report

An 83-year-old man, a former smoker, was referred to the prosthetic department, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran, for rehabilitation of his midfacial defect. He had undergone tumor resection in the upper lip, anterior portion of the nasal cavity, and cartilaginous portion of the nasal septum in February 2020 after he had been diagnosed with recurrent basaloid squamous cell carcinoma in the nasomaxillary region. He also underwent radiation therapy. As

Discussion

Silicone maxillofacial elastomers offer a wide range of customization, are lightweight, easy to use for intrinsic and extrinsic coloring and processing, are nonallergenic and tissue compatible, and have stable dimensions.11 The lip and nose prosthesis must stay in place, but the retention should not be observable for the maxillofacial prosthesis to appear realistic and aesthetic. Engaging in anatomic undercuts, use of medical adhesives, and mechanical methods such as the use of straps,

Summary

The extent of the midfacial defect, which included the maxilla, cheek, and nose, presented considerable aesthetic and retention challenges when considering restoration with a midfacial prosthesis. Although implant-supported maxillary overdentures or implant-supported facial prostheses have been considered the preferred treatments,18 for this patient, considering his radiotherapy history and related complications, a conventional maxillary and facial prosthesis with additional retentive parts was

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© 2022 by the Editorial Council for The Journal of Prosthetic Dentistry.

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