title: A large maxillofacial prosthesis for total mandibular defect: a case report.
abstract: We successfully fabricated a large maxillofacial prosthesis for replacement of a total mandibular defect resulting from surgical failure to reconstruct the mandible. Although a number of reports have described procedures for fabricating midfacial prostheses, there is little information on prostheses to compensate for total loss of the mandible. A 54-year-old woman was referred to the Dentistry and Oral Surgery Division of the National Cancer Center Hospital with total loss of the mandible and the surrounding facial soft tissue. The facial prosthesis we used to treat this patient is unique in that it is adequately retained without the use of extraoral implants and conventional adhesives. This prosthesis is retained by the bilateral auricles and the remaining upper front teeth. We present details of the design of this large silicone maxillofacial prosthesis, with which we successfully rehabilitated the patient.
authors.affiliation: Dentistry and Oral Surgery Division, National Cancer Center Hospital, Tokyo, Japan. yohta@gan2.ncc.go.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Ota
authors.forename: S
authors.initials: S
authors.lastname: Ebihara
authors.forename: W
authors.initials: W
authors.lastname: Ooyama
authors.forename: S
authors.initials: S
authors.lastname: Kishimoto
authors.forename: M
authors.initials: M
authors.lastname: Asai
authors.forename: M
authors.initials: M
authors.lastname: Saikawa
authors.forename: R
authors.initials: R
authors.lastname: Hayashi
authors.forename: T
authors.initials: T
authors.lastname: Haneda
authors.forename: M
authors.initials: M
authors.lastname: Ebihara
authors.forename: T
authors.initials: T
authors.lastname: Kimata
authors.forename: K
authors.initials: K
authors.lastname: Uchiyama
authors.forename: T
authors.initials: T
authors.lastname: Tsunekuni
authors.forename: K
authors.initials: K
authors.lastname: Ogawa
mesh_terms: D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000209:etiology / Q000601:surgery*; D008447:Maxillofacial Prosthesis; D019931:Maxillofacial Prosthesis Implantation / Q000379:methods*; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D014062:Tongue Neoplasms / Q000532:radiotherapy / Q000601:surgery