Lightweight acrylic resin facial prosthesis for maxillofacial defects: a fabrication and retention method.
Extraoral maxillofacial rehabilitation for compromised or lost facial anatomy resulting from the surgical eradication of malignancy, trauma, or congenital anomalies is commonly accomplished with a silicone prosthesis. However, with increasing size and weight, a silicone prosthesis can lose retention. This report presents 2 patient treatments to introduce a fabrication and retention method for a lightweight acrylic resin facial prosthesis. The prosthesis was fabricated by bonding an acrylic resin facial shell to a computer-edited facial image printed with iron-on transfers. The completed prosthesis was attached to the skin with medical-grade double-sided adhesive tape, which maintained a tight marginal seal even when in contact with saliva and water. The strong prosthetic retention of the lightweight prosthesis enabled orofacial and speech rehabilitation, which makes it a promising alternative to the conventional silicone prosthesis, especially for the restoration of extensive maxillofacial defects.
Clinical Professor, Unit of Oral and Maxillofacial Implantology, School of Dental Medicine, Tsurumi University, Yokohama, Japan. Electronic address: nomutaka@qd5.so-net.ne.jp.
Takayoshi
T
Nomura
Junichi
J
Sato
Masaro
M
Matsuura
Koji
K
Kawaguchi
Rei
R
Sekiguchi
Akihisa
A
Horie
Kanichi
K
Seto
D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008441:Maxillary Neoplasms / Q000532:radiotherapy / Q000601:surgery; D008447:Maxillofacial Prosthesis; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy / Q000601:surgery; D010025:Osteoradionecrosis / Q000601:surgery; D011474:Prosthesis Design; D060489:Prosthesis Retention
D000180:Acrylic Resins; D001672:Biocompatible Materials