PDF: A Simple Procedure for Oral Rehabilitation in a Complex Accident Injury: A Case Report

People with facial deformities are often regarded as oral invalids by society. Defects of the oral and maxillofacial region often result from traumatic injuries, surgical tumor resection, and congenital deformities.

Gunshot injuries and motorcycle accidents are the most common causes of facial fractures. Lacerations followed by neurologic and orthopedic injuries often occur concomitantly with facial fractures.

Treatment of trauma patients should start immediately after the accident. Maintenance of upper airway patency, control of bleeding and immobilization are the primary goals, followed by stabilization of vital signs and a neurological examination.

Once hospitalized, patients should be resuscitated and constantly monitored, including a more detailed clinical evaluation.

Surgical and defi nitive prosthetic treatments are provided after identifi cation of the lesion, stabilization of the patient, and the results of screening laboratory tests.

Successful treatment of maxillectomy patients requires careful preoperative planning involving a multidisciplinary team: oral and maxillofacial surgeons, oncologists, specialists in speech pathology, prosthodontists, and dental technicians.