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.
Ciocca
L
L
Section of Oral and Maxillofacial Prosthetic Rehabilitation, Department of Oral Science, Alma Mater Sudiorum University of Bologna, Bologna, Italy. lciocca@alma.unibo.it
Scotti
R
R
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*