[Proposal for a vitallium prosthesis in fractures of the zygomatic arch].
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This study was made to determine if those patients apparently dissatisfied with an orbital prosthesis might accept an eye patch more readily. The study included 27 patients who were seen during the past 8 years. A total of 60 orbital and eye patch proshteses were prepared for the patients. Eighteen patients responded to the questionnaire. Twelve of these patients are presently wearing their prostheses, and five of them are not. Reasons given by the patients for not using their prostheses were discomfort, lack of retention, skin irritation due to daily application and removal of the adhesive, change in defect, ill-fitting prostheses, and surgical reconstruction of the site. The study shows that given a choice, 67% of the patients would prefer the orbital prosthesis. Seventy-five percent of the patients who had an eye patch would prefer an orbital prosthesis.
The respective indications for oral or extra-oral implants lead to no confusion: stabilization of dental prostheses for the first, stabilization of maxilo-facial epitheses for the others. We demonstrate that the complementarity of the two types of implants can prove to be very useful in maintaining the maxillary dental prosthesis and the epithesis in a case of severe loss of facial substance affecting particularly the pre-maxilla. This complementary characteristic made it possible to recover fairly rapidly phonation and deglutition, and to remedy somewhat the esthetic damage. In other words to create the essential conditions for a return to everyday life.
Treatment of the edentulous obturator patient requires the same basic fundamentals as used in the treatment of the complete-denture patient. Problems and considerations unique to the development, delivery, and follow-up of the complete maxillary obturator prosthesis and mandibular denture in the patient with an acquired maxillary defect are discussed. Combining laboratory and clinical research in maxillofacial prosthodontics and plastic and reconstructive surgery continues to improve the rehabilitation of these patients.
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By utilizing the giant press and the plastic pipe flask, large facial prostheses can be flasked and processed to allow thin, well-adapted margins without distortion. The plastic flask is easily stored for a remake of the prosthesis at a future date if it should be necessary.
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