An Update of Eyeglasses-Supported Nasal-Facial Prosthetic Rehabilitation of Cancer Patients with Post-Surgical Complications: A Case Report

Featured Application This case report aims to describe an update of the digital protocol for the fabrication of a facial prosthesis for those patients who cannot be rehabilitated with plastic surgery because of post-surgical complications after maxillofacial surgery. In detail, it describes the application of the digital protocol to a mid-facial defect. The innovation proposed is oriented to simplify the procedures and reduce the time and cost of the process, aiming to recover the quality of life of inoperable patients. This case report aims to describe novel steps in the digital design/manufacturing of facial prostheses for cancer patients with wide inoperable residual defects, with a focus on a case of a mid-facial defect. A facial scanner was used to make an impression of the post-surgical residual defect and to digitalize it. The daughter's face scan was used for reconstructing the missing anatomy. Using 3D printing technologies, try-in prototypes were produced in silicone material. The substructure was laser melted. The final prosthesis was relined directly onto the patient's defect. The prosthesis resulted in a very low weight and a high elasticity of the external margins. The laser-melted substructure ensured the necessary rigidity with minimum thickness.

Automated summary

This article presents an update on the digital protocol for fabricating facial prostheses for patients who cannot undergo plastic surgery due to post-surgical complications. The aim of this innovation is to simplify the process, reduce time and cost, and improve the quality of life for inoperable patients.