Prosthodontic rehabilitation after myofascial flap surgery of hemimaxillectomy defects in the edentulous patient: a clinical report

J Craniofac Surg. 2014;25(2):e96-8. doi: 10.1097/SCS.0b013e3182a2b7a5.

Abstract

Objective: The aims of this clinical report were to present and discuss the clinical procedure and the treatment considerations of prosthetic rehabilitation after myofascial flap surgery.

Design: A 78-year-old edentulous woman with a squamous cell carcinoma underwent hemimaxillectomy. A temporalis myofascial flap surgery combined with implant-supported prosthesis is one successful approach to the restoration of oral function after hemimaxillectomy.

Conclusions: Although the bulky and mobile nature of a temporalis myofascial flap prevented the retention of a tissue-borne denture, an appropriate impression technique and the fabrication of implant-supported prosthesis using an implant attachment system enhanced the overall satisfaction by the patient.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Squamous Cell / complications
  • Carcinoma, Squamous Cell / surgery*
  • Dental Prosthesis, Implant-Supported / methods*
  • Esthetics
  • Facial Bones
  • Female
  • Humans
  • Mandibular Reconstruction / rehabilitation*
  • Mouth Neoplasms / complications
  • Mouth Neoplasms / surgery*
  • Mouth, Edentulous / complications
  • Mouth, Edentulous / rehabilitation
  • Mouth, Edentulous / surgery*
  • Patient Satisfaction
  • Smoking
  • Surgical Flaps
  • Tooth Preparation, Prosthodontic / methods*