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使用两件式颌面假体修复面部中部缺损:病例报告

Rehabilitation of a Midfacial Defect Using a Two-Piece Maxillofacial Prosthesis: A Case Report.

作者信息

Vadlamudi Chakradhar, Bathala Lakshmana Rao, Tammineedi Satyanarayana S V, Bandlamudi Bhargavi, Pshl Parvathi

机构信息

Department of Prosthodontics, Lenora Institute Of Dental Science, Rajahmundry, IND.

出版信息

Cureus. 2022 Feb 11;14(2):e22138. doi: 10.7759/cureus.22138. eCollection 2022 Feb.

Abstract

Maxillofacial defects and their rehabilitation are a major concern in this socially productive era. The rehabilitation of these massive defects in the oral and maxillofacial region poses a challenge to the prosthodontist in terms of selection of material, retentive aids, the adaptive capability of the patient, and cost. This case report describes the management of the midfacial defect involving the orbit, zygoma, maxilla, and their soft tissue counterparts with a removable silicone extraoral compartment and an acrylic intraoral compartment, which are retained with strong cobalt samarium magnets, an elastic loop around the occiput, and spectacles. The maxillofacial prosthesis fabricated for this patient restored the patient's facial esthetics, speech, dental articulation, lip support, mastication, and anterior maxillary seal.

摘要

在这个社会生产活跃的时代,颌面缺损及其修复是一个重大问题。口腔颌面部这些大面积缺损的修复,在材料选择、固位辅助装置、患者适应能力和成本方面,给口腔修复医生带来了挑战。本病例报告描述了采用可摘式硅橡胶口外腔和丙烯酸树脂口内腔对累及眼眶、颧骨、上颌骨及其软组织的面中部缺损进行的处理,这两个部件通过强力钴钐磁体、枕部弹性环和眼镜进行固位。为该患者制作的颌面修复体恢复了患者的面部美观、言语、牙齿咬合、唇部支撑、咀嚼功能以及上颌前部封闭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/8918676/1e83f02e8acc/cureus-0014-00000022138-i01.jpg

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