0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Case Report/Case Series |

Novel Magnet-Retained Prosthetic System for Facial Reconstruction

Mostafa M. Ahmed, MD1; James M. Piper, DDS2; Nancy A. Hansen, CCA2; Alan J. Sutton, DDS2; Cecelia E. Schmalbach, MD1
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, San Antonio Military Medical Center, Ft Sam Houston, Texas
2Department of Maxillofacial Prosthetics, San Antonio Military Medical Center, Ft Sam Houston, Texas
JAMA Facial Plast Surg. 2014;16(1):55-57. doi:10.1001/jamafacial.2013.1760.
Text Size: A A A
Published online

Traumatic facial defects negatively impact speech, mastication, deglutition, dental hygiene, and psychosocial well-being. Reconstruction must address restoration of function and aesthetics to provide quality of life. This report describes soft-tissue reconstruction using a novel magnet-retained facial prosthesis without osseointegrated abutments, performed in a patient after traumatic loss of the entire left lower part of the face, including lips, commissure, and mentum. This reconstructive technique successfully addressed the cosmetic defect while also restoring function with respect to speech and oral nutrition. For this reason, magnet-retained facial prosthesis should be added to free tissue transfer and regional flaps as a reasonable option in the reconstructive algorithm for complex soft-tissue defects of the lower face.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Place holder to copy figure label and caption
Figure 1.
Patient’s Appearance 4 Weeks After Wood-Chipper Accident Causing Full-Thickness Loss of the Left Lower Cheek and Oral Commissure

Exposed oral mucosa at the injury site is deteriorating owing to loss of salivary protection.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Custom Magnet Retention System

Magnet placement on mandibular and maxillary teeth 5, 20, and 22.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.
Prostheses in Place

Note watertight seal with surrounding facial tissue and excellent cosmetic appearance.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 4.
Proposed Full-Thickness Cheek Reconstructive Algorithm, Including Magnet-Retained Facial Prosthesis

ALT indicates anterolateral thigh; RFFF, radial forearm free flap; STSG, split-thickness skin graft.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();