MAKSİLLER SİNÜS MALİGN NEOPLAZMLI HASTANIN PROTETİK REHABİLİTASYONU: OLGU SUNUMU
Abstract
Benign ve malign neoplazmların, maksiller kistlerin, travmatik ve konjenital malformasyonların cerrahi tedavisi maksiller defektlere neden olmaktadır. Maksil- ler defektler, oronasal ve oroantral bağlantılara ve bu- nun sonucunda yenilen besinlerin ve gıdaların burun- dan geri akışına ve hipernazal konuşmaya neden ol- maktadır. Hastaların obtüratörlerle protetik rehabilitas- yonu ile estetik, fonksiyonel, sosyal ve psikolojik prob- lemlerinin çözümü amaçlanmaktadır. Defektin büyük- lüğü ve lokalizasyonu, mevcut yumuşak doku under- cutları, destek dişlerin sayısı ve kemik desteği obtüra- törün dizaynını etkilemektedir. Obtüratörün retansi- yonu ve stabilizasyonu oral fonksiyonları geliştirmek- tedir. Bu vakada, maksiller sinüs malign neoplazmı teşhisi konulmuş 17 yaşında bayan hasta kliniğimize başvurmuştur. Maksiller anterior bölgenin rezeksiyonu, ilgili dişlerin çekimi, radyoterapi uygulaması ardından nazogastrik sonda yerleştirilmiştir. Radyoterapiden 1 ay sonra, hastanın radyoterapisti beslenmenin oral yol- dan sağlanması için nazogastrik sondanın çıkarılması ve hastanın protezle rehabilite edilmesini istemiştir. Metal alt yapılı obtüratör protezin tutuculuğu konvansi- yonel obtüratör protezlerden daha fazla olduğu için metal altyapılı geçici obtüratör protez uygulanmıştır. Kontrol randevularında obtüratör protezlerde herhangi bir estetik ve fonksiyonel problem görülmemiştir.
Anahtar Kelimeler: Maksiller sinüs karsinomu, Maksiller Defekt, Obturatör, Hollow bulb, Protetik Rehabilitasyon
PROSTHETIC REHABILITATION OF A PATIENT WITH MAXILLARY SINUS NEOPLASM: A CASE REPORT
ABSTRACT
Surgical treatment of benign or malignant neoplasms, maxillary cysts, traumatic and congenital malformations induce maxillary defects. Maxillary defects create oronasal and oroantral communications that lead to nasal regurgitation of food and liquids and hyper-nasal peech. Prosthodontic rehabilitation of patients with obturators aims to solve the patients' aesthetic, functional, social and psycholo- gical problems. Location and size of the defects, vailable soft tissue undercuts, the number and bone support of the remaining abutment teeth effect the design of obturators. Retention and stability of the obturators improve oral functions. In this case the pa- tient was a 17 years old girl. She was diagnosed with maxillary sinus malignant neoplasm. After the resec- tion of maxillary anterior region, extraction of several teethand undergoing radiotherapy, a nasogastric tube was placed. One month after radiotherapy, patient’s radiotherapist aimed to remove the nasogastric tube and help her with feeding so wanted us to rehabilitate the patient with a prosthetis. A temporary obturator prosthesis with metal framework was designed. Because the retention of obturator prosthesis with metal framework is better than conventional obturator prosthesis. At the recall visits obturator prosthesis hasn’t got any aesthetic or functional problems.
Key Words: Maxillary sinus carcinoma, Maxillary defect, Obturator, Hollow bulb, Prosthetic rehabilitation
Keywords
References
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Details
Primary Language
Turkish
Subjects
Dentistry
Journal Section
Case Report
Publication Date
March 22, 2019
Submission Date
August 2, 2016
Acceptance Date
September 27, 2016
Published in Issue
Year 2019 Volume: 29 Number: 2