MAKSİLLER SİNÜS MALİGN NEOPLAZMLI HASTANIN PROTETİK REHABİLİTASYONU: OLGU SUNUMU

Year 2019, Volume: 29 Issue: 2, 320 - 325, 22.03.2019

Hatice Özdemir Merve Köseoğlu

https://doi.org/10.17567/ataunidfd.544624

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

Maksiller sinüs karsinomu, Maksiller Defekt, Obturatör, Hollow bulb

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