抄録
Maxillofacial rehabilitation for patients after several resections of tumors and reconstructions is very difficult because of complex maxillofacial deformation. The treatment plans for patients with orofacial tumors should be determined by not only surgeons but also radiation therapists and prosthodontists. However, prosthodontists are not consulted in some cases before surgery. Some patients show limited mouth opening and/or trismus resulting from surgical scarring and radiation therapy, and encounter difficulties in eating, speaking, and receiving dental treatment.
We report a patient with microstomia caused by resection of a recurrent mandibular tumor and reconstruction at a department of plastic surgery. Because occlusal contact had been lost, his eating was limited, and so he visited the Department of Oral-Maxillofacial Surgery, Dentistry, and Orthodontics at the University of Tokyo Hospital.
Because of microstomia and trismus, we used sectional impression trays for final impressions and applied a mandibular prosthesis in order to improve his masticatory function.
