Residual facial disfigurement after the ablative surgery of a lachrymal gland carcinoma: a clinical report of the prosthetic rehabilitation.
Facial disfigurement after ablative surgery of a massive adeno-carcinoma of the lachrymal gland is described. A rehabilitation with a maxillofacial prosthesis was proposed to restore the aesthetic appearance of the patient without inserting craniofacial implants. Retention of a maxillofacial prosthesis, that is not anchored to implants, depends on the use of adhesives or on mechanical devices like glasses. This clinic report describes a residual anatomic defect which allowed for the double choice of wearing the facial prosthesis both with or without glasses. A retentive backside of the prosthesis was developed to engage the facial defect undercuts, which enhanced retention when the patient used the skin glue without glasses. A unique foam silicone was utilized to reduce the weight of the prosthesis and to permit its retention only by skin adhesive.
Section of Oral and Maxillofacial Prosthetic Rehabilitation, Department of Oral Science, Alma Mater Sudiorum University of Bologna, Bologna, Italy. lciocca@alma.unibo.it
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Ciocca
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Scotti
D000230:Adenocarcinoma / Q000534:rehabilitation / Q000601:surgery*; D005134:Eye Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008447:Maxillofacial Prosthesis; D019931:Maxillofacial Prosthesis Implantation; D008875:Middle Aged; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation*