Facial Prosthesis using an Acrylic Base for a Patient with a Large Facial Defect

This case report describes the fabrication of a prosthesis for the rehabilitation of an elderly male patient with a large facial defect after mandibulectomy. After surgical resection, the patient’s defect involved the lower lip and cheek and connected to the oral cavity. The surgeons desired a prosthetic solution to improve speech, mastication, deglutition, and esthetics. An acrylic base (Palapress vario clear; Heraeus-Kulzer, Japan) with wires was fabricated to support a silicone facial prosthesis that matched his skin color. This facial prosthesis was fabricated from maxillofacial silicone material with intrinsic color and covered the acrylic surface. A silicone facial prosthesis could be a solution for rehabilitation in elderly patients with a large facial defect resulting from mandibulectomy.While prosthetic treatment is an option for improving dysfunction and esthetic problems following mandibulectomy, surgical planning must be carefully considered and collaborative efforts are needed from the preoperative planning stage.