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Prosthetic Management of Microstomia with Customized Dynamic Splint
The International Journal of Prosthodontics
|April 23, 2020
Summary
This study presents a novel management approach for microstomia (reduced mouth opening) caused by facial burns. A dynamic splint combined with intralesional injections effectively improved mouth opening in a burn patient.
Area of Science:
- Plastic Surgery
- Burn Management
- Oral Rehabilitation
Background:
- Microstomia, characterized by reduced mouth opening, presents functional and esthetic challenges.
- Facial burn management is complicated by hypertrophic and contracture scars, leading to microstomia.
- Current treatments include surgical, nonsurgical, and combined modalities, with splinting being a key component.
Observation:
- A patient with microstomia secondary to facial burns was treated.
- The treatment involved a dynamic splint and intralesional injections.
- The injections included triamcinolone acetonide and hyaluronidase.
Findings:
- The combined therapy of a dynamic splint and intralesional injections was utilized.
- This approach aimed to manage microstomia resulting from facial burns.
- The case report details the specific application and outcomes of this treatment strategy.
Implications:
- This case highlights a potentially effective treatment combination for burn-induced microstomia.
- Dynamic splinting offers a method to counteract perioral muscle contraction and restore mouth opening.
- Further research may explore this combined therapeutic approach for similar conditions.

