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Sectional prosthesis for total maxillectomy patients: a clinical report
1Case Western Reserve University, School of Dentistry, Department of Restorative Dentistry, Cleveland, OH 44106, USA.
The Journal of Prosthetic Dentistry
|September 23, 1997
Summary
Total maxillectomy presents reconstructive challenges. A sectional magnetic prosthesis effectively restored speech, deglutition, and facial aesthetics in a patient with verrucous carcinoma.
Area of Science:
- Oral and Maxillofacial Surgery
- Prosthodontics
- Oncology
Background:
- Total maxillectomy, though uncommon, poses significant surgical and prosthetic reconstruction challenges.
- Restoring oral-nasal separation, speech, deglutition, and facial aesthetics are key goals post-maxillectomy.
Observation:
- A clinical report details the prosthetic management of a patient undergoing total maxillectomy for verrucous carcinoma.
- The case highlights the clinical and laboratory procedures involved in fabricating a specialized prosthesis.
Findings:
- A sectional prosthesis, secured with magnets, was successfully implemented.
- This prosthetic solution eliminated the need for long-term nasogastric intubation.
Implications:
- The magnetic sectional prosthesis significantly improved the patient's speech and deglutition.
- It effectively restored midfacial contour and overall facial aesthetics, enhancing quality of life.