Comprehensive rehabilitation after severe maxillofacial injury in a cleft patient.
We present here a complex oral rehabilitation procedure for a 19-year-old male patient with an operated cleft lip and palate who suffered motorcycle accident injuries including facial lacerations, and a severe mandible fracture with loss of teeth, gingiva and alveolar bone. His initial skeletal and occlusal relationship made the emergent surgical management extremely difficult. Emergent soft tissue repair and open reduction surgery for the comminuted fracture at the mandible were performed during the intensive care period. A 2-year period of comprehensive procedures including surgical/orthodontic treatment, implant surgery and bone graft and prosthetic restoration for oral and maxillofacial rehabilitation to treat the severely compromised soft and hard tissue status, intermaxillary jaw discrepancy, and severe malocclusion, were sequentially performed. Satisfactory results were observed after a 5-year follow-up.
Department of Stomatology, Taipei Veterans General Hospital, 201 Section 2 Shih-Pai Road, Taipei, Taiwan, R.O.C.
Jenny Hwai-Jen
JH
Fong
Ho-Tai
HT
Wu
Yu-Wei
YW
Chio
Anne Margaret
AM
Gonzalez
Chuan-Kuei
CK
Huang
Ya-Wei
YW
Chen
Shou-Yen
SY
Kao
D000063:Accidents, Traffic; D000328:Adult; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D008297:Male; D008446:Maxillofacial Injuries / Q000534:rehabilitation* / Q000601:surgery