Mandibular reconstruction using silicone: fifteen-year follow-up

Area of Science:

• Oral and Maxillofacial Surgery
• Biomaterials Science
• Reconstructive Surgery

Background:

• Mandibular defects often require complex reconstruction.
• Prosthetic replacements offer an alternative to autogenous grafts.
• Dacron felt-covered silicone prostheses have been explored for craniofacial reconstruction.

Observation:

• A patient received a custom-carved Dacron felt-covered silicone prosthesis for mandibular replacement.
• The prosthesis was implanted to address a defect in the mandible.
• The long-term outcome of this specific prosthetic material was evaluated.

Findings:

• The prosthesis remained functional and in place for 15 years post-implantation.
• The patient exhibited satisfactory jaw appearance and mobility.
• Speech function remained within normal limits after reconstruction.

Implications:

• This case suggests the potential for long-term success with Dacron felt-covered silicone prostheses in mandibular reconstruction.
• While not the primary choice, such prostheses can offer a viable, durable solution.
• Further research into biomaterials for craniofacial reconstruction is warranted.