title: Prosthetic rehabilitation of postsurgical nasomaxillary hypoplasia for a patient following reconstructive surgery: a clinical report.
abstract: Repairs of the cleft nose, lip, and palatal deformity remain challenging endeavors for reconstructive surgeons. Postsurgical nasomaxillary hypoplasia is a common finding in patients with extensive clefts. This complex deformity has a pronounced impact on the social behavior and self image of the subject. Esthetic and functional rehabilitation of this postsurgical defect is scarcely reported in the literature. Support in the form of prostheses or stents to prevent tissue collapse is usually required in these patients following surgery. This clinical case presentation discusses the fabrication of an internal nasal stent for a cleft nose, lip, and palate patient following surgical reconstruction. Two prostheses using two prosthetic materials (Polymethyl methacrylate, flexible resin) were prepared to compare their efficacy. The final prostheses improved the patient's appearance, making the postsurgical defect less conspicuous.
authors.affiliation: Department of Prosthodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, India.
authors.forename: V R
authors.initials: VR
authors.lastname: Thirumurthy
authors.forename: Y A
authors.initials: YA
authors.lastname: Bindhoo
authors.forename: Sunil Joseph
authors.initials: SJ
authors.lastname: Jacob
authors.forename: Anjana
authors.initials: A
authors.lastname: Kurien
authors.forename: K S
authors.initials: KS
authors.lastname: Limson
mesh_terms: D000293:Adolescent; D001672:Biocompatible Materials / Q000737:chemistry; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D017267:Dental Prosthesis Design; D003779:Denture Design; D003829:Denture, Partial; D005260:Female; D006801:Humans; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D009668:Nose Diseases / Q000628:therapy; D016155:Oral Fistula / Q000628:therapy; D010158:Palatal Obturators; D019904:Polymethyl Methacrylate / Q000737:chemistry; D011183:Postoperative Complications; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures; D016156:Respiratory Tract Fistula / Q000628:therapy; D015607:Stents; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D019904:Polymethyl Methacrylate