2008 年 31 巻 1 号 p. 17-21
A facial prosthesis may have various problems with regard to retention. The use of osseointegrated implants improves retention, however, their application is limited in Japan. Hence, we propose the use of a new silicone material with adhesive characteristics for making a facial prosthesis. This article describes the properties of adhesive silicone and clinical application of a facial prosthesis made of adhesive silicone.
The adhesive silicone consists of base silicone and catalyst in the proportion of 60:1. It did not induce any skin reaction in the patch test and had sufficient adhesiveness in the rolling ball tag test. An 82-year-old woman and an 88-year-old man, who after surgery for tumor removal had defects in the nasal region, were treated. The man’s defect was reconstructed with his skin. Their nasal defects were reconstructed with facial prostheses made of medical grade silicone with adhesiveness. This type of facial prosthesis was successful in terms of retention and patient satisfaction. It is suggested that the prosthesis made of adhesive silicone could be applied in patients with facial defects.