Maxillofacial prosthetic rehabilitation: literature review and case report

Samira Carvalho, Ederson Orlando, Adriana Corsetti

Abstract


The present study aimed to report a clinical case of facial deformity of traumatic etiology, rehabilitated through an facial prosthesis in the Buccomaxillofacial Prosthesis Extension Program of the Faculty of Dentistry of UFRGS. As well as to gather information that supports a discussion on this subject, allowing a wide and detailed knowledge. Case Description: Patient A.O.N., 62 years old, male, reported have suffered an automobile accident for 40 years and performed 10 plastic surgeries to date to correct the deformity. In a first moment was made the molding of the eyelid-eyelid region and made model of work in plaster. After the preparation of the ocular prosthesis with the iris obtained by the technique of hand painting. In the model of plaster with the ocular prosthesis in position was made sculpture. With the finished sculpture was made the inclusion of the piece in mufla and the insertion of the silicone in the negative copy with the realization of the intrinsic painting. With the patient present, extrinsic painting and characterization with eyelashes were performed. The prosthesis was fixed with glue, and it was recommended the use of glasses to support the prosthesis. Conclusion: It is not always possible to restore facial defects with a surgical approach, so the dentist's knowledge about facial prosthetic rehabilitations is important, since facial mutilation causes morphofunctional and psychosocial changes in patients with deformities, leading them to social and family isolation. Through facial prosthetic reconstructions, the individual can be reintegrated into society and improve their quality of life.

Keywords


Maxillofacial prosthesis; Prosthesis; Rehabilitation

References


Cardoso MSO, Souza EHA, Cardoso AJO, Lobo JS, Cardoso SO. Importance of Prosthetic Nasal Rehabilitation: a Case Report. J. Cirurgia Traumatologia BucoMaxilo-Facial. 2006 Mar;6(1):43-6.

Rezende JRV. Fundamentos da prótese buco-maxilo-facial. São Paulo: Sarvier; 1997.

Eslava J, Neira A. Reconstrucción frontoorbitonasal con implantes PSI: reporte de caso. J. fac. Med. Bogotá. 2009 Jun;17(2):286-92.

Gastaldi G, Palumbo L, Moreschi C, Gherlone EF, Capparé P. Prosthetic management of patients with oro-maxillo-facial defects: a long-term follow-up retrospective study. J. Oral Implantol. 2017 Sept;10(3):276-82.

Neves ACC, Patrocínio M, Murgo D, Campoy C, Hangai F. Prótese facial extensa: Caso clínico. R. Ibero-americana de prótese clin & lab. 2004;6(34):545-7.

Leonardi A, Buonaccorsi S, Pellacchia V, Moricca L, Indrizzi E, Fini G. Maxillofacial prosthetic rehabilitation using extraoral implants. J. Craniofac Surg. 2008 Mar;19(2):398-405.

Chaturvedi S, Bhagat T, Verma AK, Gurumurthy V, Ali M, Vadhwani P, et. al. Rehabilitation of nose following chemical burn using CAD/CAM made substructure for implant retained nasal prosthesis: a clinical report. J. Case Reports in Dentistry. 2017 Jun.

Francis, L. Rehabilitation of a patient with facial and palatal defect: a case report. Journal of Clinical and Diagnostic Research. 2017 Mar;11(3):19-20.

Papaspyrou G, Yildiz C, Bozzato V, Bohr C, Schneider M, Hecker D, et al. Prosthetic supply of facial defects: long-term experience and retrospective analysis on 99 patients. J. European Archives of Oto-Rhino-Laryngology. 2018 Feb;275(2):607-13.

Salazar-gamarra R, Oliveira JAP, Dib LL. Aesthetics in maxilofacial rehabilitation. R. APCD de Estética. 2015;3(1):42-52.

Silva AKB. Para uma psicologia da márcara: sobre curativos, óculos e próteses faciais na trajetória de vida de pessoas que passaram por mutilações na face. [Dissertação mestrado]. Recife: Universidade Federal de Pernambuco; 2008.

Simões FG, Reis RC, Dias RB. A especializade bucomaxilofacial e sua atuação na odontologia. Rev Sul-Bras Odontol. 2009 Sept;6(3):327-331.

Vexenat AL. Perfil e análise da qualidade de vida dos pacientes portadores de próteses maxilofaciais. [Trabalho de Conclusão de Curso-Bacharelado em Odontologia]. Brasília (DF): Universidade de Brasília. Brasília; 2014

Rosa GF. Fixação de prótese facial em pacientes oncológicos: Revisão sistemática. [Dissertação mestrado]. Uberlândia: Universidade federal de Uberlândia; 2007.

Sousa AA. Analise comparativa entre sistemas de retenção para próteses auriculares implanto-retidos. [Dissertação mestrado]. São Paulo (SP): Faculdade de odontologia da USP; 2006.

Perrone A, Sperb L, Bercini F, Azambula T. Prótese ocular, revisão de literature e relato de caso. R. faculdade de odontologia. 1996 Jul;37(1):13-14.

Cobein MV. Evolução dos sistemas de retenção, fixação e ancoragem extraoral na reabilitação bucomaxilifacial: revisão sistemática. [Dissertação mestrado]. São Paulo (SP): Universidade de São Paulo; 2014.

Goiato MC, Ribeiro PP, Santos DM, Fernandes AUR, Santos PH, Pellizzer EP. Effect of pigmentation and chemical disinfection on the elastic recovery and tear strength of a silicone maxillofacial prosthetic material. R. Odontol UNESP. 2004;33(4):189-94.

Hanson MD, Shipman DM, Blomfield DDS. Commercial cosmetics and their role in the coloring of facial prostheses. J. Prosthet Dent. 1983;50:818‑20.

Ranabhatt R, Singh k, Siddharth R, Tripathi S, Arya D. Color matching in facial prosthetics: A systematic review. J. Indian Prosthodont Soc. 2017 JanMar;1:3-7

Seelaus R, Troppmann RJ. Facial prosthesis fabrication: Coloration techniques. In: Taylor TD. J. Clinical Maxillofacial Prosthetics. 2000:245‑64.

Curi MM, Oliveira MF, Molina G, Cardoso CL. Extraoral implants in The rehabilitation of craniofacial defects: implant and prosthesis survival rates and periimplant soft tissue evaluation. J. Oral Maxillofac Surg. 2012 Jul;70:1551-7.




DOI: https://doi.org/10.22456/2177-0018.87833

Licença Creative Commons

e-ISSN 2177-0018 / ISSN 0566-1854.

descrição da foto descrição da foto descrição da foto descrição da foto descrição da foto descrição da foto descrição da fotodescrição da foto