[Plastic and reconstructive measures in tumors of the face].
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The authors present a few cases maxillary and facial reconstruction with restoration of the esthetic appearance, mastication and phonation, using the obturator muscles and prostheses made up of acrylic resin and silicone elastomers.
A program in maxillofacial prosthetics for medical artists was initiated at the University of Illinois Medical Center in 1966 as a joint enterprise of the Center for Craniofacial Anomalies of the Abraham Lincoln School of Medicine and the Department of Medical Art of the School of Associated Medical Sciences. In the intervening years, 25 medical artists have been graduated from the program. The general background of the trainees, the scope of their training, and their clinical contribution were discussed and illustrated.
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PURPOSE: This study evaluated some mechanical properties of 2 newly introduced, addition-type silicone prosthetic elastomers (Cosmesil and Episil). MATERIALS AND METHODS: The properties evaluated were tensile strength, modulus at 100% elongation, elongation at break, tear strength, and hardness. The properties tested were selected because of their clinical significance for fabricating facial prostheses. RESULTS: Episil showed greater tensile strength (P = 0.0002), elastic modulus (P = 0.0001), hardness (P = 0.0002), and tear strength (P = 0.0004) than Cosmesil material. Cosmesil exhibited a higher elongation at break (P = 0.0002) than Episil. CONCLUSION: Cosmesil and Episil showed reasonable properties as facial prosthetic elastomers and neither was superior for all properties tested. Both materials showed favorable combinations of elongation at break and tear strength.
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The author deals with the aetiology and location of facial defects treated prosthetically during 1974-1975. Treatment methods currently used at the Rostock University Clinic and Policlinic of Stomatology are presented with special regard to constructions developed in this clinic. The importance of the choice of an appropriate material and of the possibility of secure anchoring is pointed to. In spite of certain disadvantages which should not be underrated, facial prostheses have proved useful for temporary treatment and also for definite treatment
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