Ciocca L, Scotti R
Section of Oral and Maxillofacial Prosthetic Rehabilitation, Department of Oral Science, Alma Mater Sudiorum University of Bologna, Bologna, Italy.
Indian J Cancer. 2004 Apr-Jun;41(2):85-8.
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.
本文描述了泪腺巨大腺癌切除术后的面部毁容情况。提出了一种使用颌面假体进行康复治疗的方案，旨在在不植入颅面植入物的情况下恢复患者的美观外观。未锚固于植入物的颌面假体的固位，取决于粘合剂的使用或眼镜等机械装置。本临床报告描述了一种残留的解剖学缺陷，这使得患者可以选择佩戴或不佩戴眼镜来使用面部假体。开发了一种固位型假体背面，以接合面部缺损的倒凹，当患者不戴眼镜使用皮肤胶水时，可增强固位效果。使用了一种独特的泡沫硅胶来减轻假体重量，并仅通过皮肤粘合剂实现其固位。
