The authors of the article present the successful results of orthopedic treatment of 16 patients with complex defects of the middle zone of the face various genesis and localization. For a more detailed study and to facilitate the planning of orthopedic rehabilitation, we used the classification of defects by P.G. Cordeiro and E. Santamaria (2000). In terms of diagnostics, the following examination methods were carried out: questioning, anamnesis, examinations, palpations of the soft tissues of maxillofacial region, anthropometric measurements of the jaw segments, measurement and comparison of the height of all areas of the face. Additional research methods were used in form of: studying a gemogram, orthopantomography, cone beam computed tomography (CBCT), densitometry of the jaw bones, capillaroscopy of the mucous membranes of the vestibule and, accordingly, the oral cavity, making diagnostic models of the jaws and face masks. After epithelization of the wound surfaces, attempts were made to eliminate the defects. All patients received post-resection prostheses, using underlying tissues, remaining teeth or dental implants as a support. In all clinical cases, it was possible to replace defects in the middle zone of the face with post-resection prostheses. For complex types of resection (types 3b and 4) with enucleation of the orbit, artificial prostheses of the upper jaw and eye were made with participation of an ophthalmologist. With regard to adaptation to prostheses, accustoming to prostheses supported by natural teeth or implants with unilateral defects was the fastest. Good treatment results were obtained in all cases.
The authors of the article present the successful results of orthopedic treatment of 16 patients with complex defects of the middle zone of the face various genesis and localization. For a more detailed study and to facilitate the planning of orthopedic rehabilitation, we used the classification of defects by P.G. Cordeiro and E. Santamaria (2000). In terms of diagnostics, the following examination methods were carried out: questioning, anamnesis, examinations, palpations of the soft tissues of maxillofacial region, anthropometric measurements of the jaw segments, measurement and comparison of the height of all areas of the face. Additional research methods were used in form of: studying a gemogram, orthopantomography, cone beam computed tomography (CBCT), densitometry of the jaw bones, capillaroscopy of the mucous membranes of the vestibule and, accordingly, the oral cavity, making diagnostic models of the jaws and face masks. After epithelization of the wound surfaces, attempts were made to eliminate the defects. All patients received post-resection prostheses, using underlying tissues, remaining teeth or dental implants as a support. In all clinical cases, it was possible to replace defects in the middle zone of the face with post-resection prostheses. For complex types of resection (types 3b and 4) with enucleation of the orbit, artificial prostheses of the upper jaw and eye were made with participation of an ophthalmologist. With regard to adaptation to prostheses, accustoming to prostheses supported by natural teeth or implants with unilateral defects was the fastest. Good treatment results were obtained in all cases.