Case Report

Prosthetic rehabilitation of a patient with total rhinectomy and partial maxillectomy with magnet-retained oral-nasal combination prosthesis: A case report

Abstract

Nasal cavity malignancies tend to make local aggressive growth. There are two possibilities for rehabilitation after a total rhinectomy: Operative reconstruction or a nasal prosthesis. Since the introduction of microvascular free flaps, most facial defects are now rehabilitated surgically and there are many available surgical options, however, for large deficiencies, regional as well as local flaps are definitely not cosmetically ideal. Moreover, patients requiring extensive midfacial prostheticreconstruction will invariably have had previous radiotherapy, making placement and retention of implants more problematic and liable to fail. In this situation prosthetic rehabilitation can be an attractive alternative to the surgical reconstruction of the nose. This clinical report explains a step by step facial and intraoral prosthetic rehabilitation of a patient with total rhinectomy and partial maxillectomy with magnet-retained oral-nasal combination prosthesis.Keywords: Rhinectomy, Prosthetic Rehabilitation, Maxillectomy.

Turner JH, Reh DD. Incidence and survival in pa- tients with sinonasal cancer: A historical analysis of population‐based data. Head & neck. 2012;34(6):877-85.

Atay A, Peker K, Günay Y, Ebrinç S, Karayazgan B, Uysal Ö. Assessment of health-related quality of life in Turkish patients with facial prostheses. Health and quality of life outcomes. 2013; 11(1):11.

Abu-Serriah M, McGowan D, Moos K, Bagg J. Ex- tra-oral endosseous craniofacial implants: current status and future developments. International journal of oral and maxillofacial surgery. 2003;32(5):452.

NaBadalung DP. Prosthetic rehabilitation of a total rhinectomy patient resulting from squamous cell carcinoma of the nasal septum: a clinical report. The Journal of prosthetic dentistry. 2003;89(3):234.

Won AM, Montgomery P, Aponte-Wesson RChambers M. Implant-supported and magnet-re- tained oral-nasal combination prosthesis in a pa- tient with a total rhinectomy and partial maxillec- tomy due to cancer: A clinical report. The Journal of prosthetic dentistry. 2017; 117(2):315-20.

Bowden J, Flood T, Downie I. Zygomaticus implants for retention of nasal prostheses after rhinectomy. British Journal of Oral and Maxillofacial Surgery.2006; 44(1):54-6.

Teichgraeber JF, Goepfert H. Rhinectomy: timing and reconstruction. Otolaryngology--Head and Neck Surgery. 1990; 102(4):362-9.

Klug C, Berzaczy D, Reinbacher H, Voracek M, Rath T, Millesi W, et al. Influence of previous ra- diotherapy on free tissue transfer in the head and neck region: evaluation of 455 cases. The Laryngo- scope. 2006; 116(7):1162-7.

Thankappan K. Microvascular free tissue trans fer after prior radiotherapy in head and neck re- construction–A review. Surgical oncology. 2010;19(4):227-34.

Bourget A, Chang JT, Wu DB-S, Chang CJ, Wei FC. Free flap reconstruction in the head and neck region following radiotherapy: a cohort study identifying negative outcome predictors. Plastic and reconstructive surgery. 2011; 127(5):1901-8.

Flood T, Russell K. Reconstruction of nasal defects with implant-retained nasal prostheses. British Journal of Oral and Maxillofacial Surgery. 1998;36(5):341-5.

Westin T, TJELLSTRÖM E, Hammerlid E, Berg- strÖm K, Rangert B. Long-term study of quality and safety of osseointegration for the retention of auricular prostheses. Otolaryngology-Head and Neck Surgery. 1999; 121(1):133-43.

Nadeau J. Maxillofacial prosthesis with magnet ic stabilizers. The Journal of Prosthetic Dentistry.1956;6(1):114-9.

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IssueVol 4, No 3 (Summer 2017) QRcode
SectionCase Report(s)
Keywords
Rhinectomy Prosthetic Rehabilitation Maxillectomy.

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How to Cite
1.
Hosseini Shirazi M, Saker J, Zarrati S. Prosthetic rehabilitation of a patient with total rhinectomy and partial maxillectomy with magnet-retained oral-nasal combination prosthesis: A case report. J Craniomaxillofac Res. 2017;4(3):401-405.