Salam, Amer.
I applaud you effort to help your people as well. First principle, for me anyway, in medicine
and the medical arts, is First do no harm.
If you are not sure, creating something that can do more harm to the patient may not be doing them a favor.
I am a prosthodontist by training, and I would choose very carefully what maxillofacial prosth cases I manage
because I did not have more than a 2 month rotation in MD Anderson unlike those who stayed a year.
Without the benefit of a great surgeon, and maxillofacial prosthodontist to input how to manage
surgical outcomes, both you and patient will suffer in the long run.
I reckon contacting local and regional MFP trained prosthodontist who can give you a primer on
what is needed to rehabilitate the patients in the long run, like creating skin grafts to give you
literally a scar band to retain prosthesis, taking out bad teeth in line of fracture and rounding
sharp bony edges to spare the patients many months of discomfort. There are many such
US MFP trained prosth with Arabic/Farsi descent/heritage who can help you out. Let me know
if you need and I will try to find you some if they are not already involved.
Desperation is the mother of invention. Shoot for simple devices using temporary soft liners
like Coe-soft, Trusoft, Viscogel (British product/DeTrey/Dentsply) or Lynal (in the US); that can
stick to Acrylic or even Triad like material you can mold easily. The last thing you want is for a wound to be
stripped by hard acrylic and the patient not even knowing because the nerve has been severed.
Most important is not to get material mixed and stuck into a hole (fistula) and get stuck
inside an undercut, like alginate, etc becoming a source of infection. Again, look evaluate,
assess what can be done and what is priority. Stop hemorrhage/bleeding, prevent aspiration
of material into lung and if possible prevent fluids from going inside the nose.
Just my 2 cents worth. All the best.
LCM
