Prosthetic reconstruction of a patient with an irradiated rhinectomy and upper lip resection with a maxillofacial prosthesis and removable complete dentures: A clinical report

Mohammad Jowkar; Farzad Yeganeh; Amirhossein Fathi; Behnaz Ebadian

doi:10.1016/j.prosdent.2022.09.021

Prosthetic reconstruction of a patient with an irradiated rhinectomy and upper lip resection with a maxillofacial prosthesis and removable complete dentures: A clinical report

J Prosthet Dent. 2022 Nov 19:S0022-3913(22)00641-2. doi: 10.1016/j.prosdent.2022.09.021. Online ahead of print.

Authors

Mohammad Jowkar¹, Farzad Yeganeh², Amirhossein Fathi³, Behnaz Ebadian⁴

Affiliations

¹ Postgraduate student, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
² Private practice, Isfahan, Iran.
³ Assistant Professor, Department of Prosthodontics, Dental Materials Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: amir_alty@yahoo.com.
⁴ Professor, Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

PMID: 36414497
DOI: 10.1016/j.prosdent.2022.09.021

Abstract

When surgery is performed to remove aggressive cancer, the extent of the lesion commands the amount of tissue removed. The removal of extensive tissue such as crucial landmarks complicates prosthesis design. This clinical report describes the prosthetic reconstruction of a patient who underwent tumor resection of the upper lip, anterior portion of the nasal cavity, and cartilaginous portion of the nasal septum, as well as subsequent radiation therapy. The prosthetic rehabilitation consisted of magnetic attachments, eyeglasses, and silicone adhesives. The applied technique effectively covered the site of squamous cell carcinoma removal providing natural color and form.