Case Report
BibTex RIS Cite
Year 2023, Volume: 33 Issue: 3, 185 - 190, 31.07.2023
https://doi.org/10.5152/CRDS.2023.4887

Abstract

References

  • 1. Yılmaz C, Çiftçi H, Duymuş ZY. Total maksiller rezeksiyonlarin protetik tedavisi: Olgu sunumu. Atatürk Univ Diş Hekimliği Fak Derg. 2015;25:51-55.
  • 2. Yenisey M, Külünk Ş, Kaleli N. An alternative prosthetic approach for rehabilitation of two edentulous maxillectomy patients: clinical report. J Prosthodont. 2017;26(5):483-488. [CrossRef]
  • 3. Hou YZ, Huang Z, Ye HQ, Zhou YS. Inflatable hollow obturator pros- theses for patients undergoing an extensive maxillectomy: a case report. Int J Oral Sci. 2012;4(2):114-118. [CrossRef]
  • 4. Murat S. Assessment of the accuracy of obturator bulbs that are pro- duced by using cone beam computed tomography and stereolithog- raphy in Maxilloctemy defects: an ex vivo study. JAREM. 2018;8(3): 186-190. [CrossRef]
  • 5. Tirelli G, Rizzo R, Biasotto M, et al. Obturator prostheses following palatal resection: clinical cases. Acta Otorhinolaryngol Ital. 2010; 30(1):33-39.
  • 6. Lethaus B, Lie N, de Beer F, Kessler P, de Baat C, Verdonck HW. Surgi- cal and prosthetic reconsiderations in patients with maxillectomy. J Oral Rehabil. 2010;37(2):138-142. [CrossRef]
  • 7. Wang RR. Sectional prosthesis for total maxillectomy patients: a clinical report. J Prosthet Dent. 1997;78(3):241-244. [CrossRef]
  • 8. Dos Santos DM, de Caxias FP, Bitencourt SB, Turcio KH, Pesque- ira AA, Goiato MC. Oral rehabilitation of patients after maxillectomy. A systematic review. Br J Oral Maxillofac Surg. 2018;56(4):256-266. [CrossRef]
  • 9. Şeker E, Kayiş M. Parsiyel maksillektomi vakalarinin impantüstü bar ve doğal diş destekli bukkal flanj obturatörler ile rehabilitasyonu: 2 vaka raporu. Atatürk Univ Diş Hekimliği Fak Derg. 2016;43(3):179-185.
  • 10. Kurtoğlu C, Gürbüz C. Üst çene defektlerinde obturasyon uygulaması. Atatürk Univ Diş Hekimliği Fak Derg. 2014;24(2): 308-314.
  • 11. Atıcı SS. Maksiller Sinüs Tümörleri; vol 3. KBB Forum; 2012:11.
  • 12. Aladağ Lİ, Güngör H, Ahmetoğlu F, Holoğlu B, Aras MH. Kismi mak- silektomi yapilmiş hastalarin hollow bulb obtüratör ile protetik reha- bilitasyonu: iki vaka raporu. Atatürk Univ Diş Hekimliği Fak Derg. 2009;2009(2):105-110.
  • 13. Gupta C, Jain V. A call for maxillofacial prosthodontist-rehabilitation of bilateral total maxillectomy defect with limited mouth opening: a case report. Adv Med Dent Sci Research. 2020;8(2):91 94.
  • 14. Costa-Palau S, Torrents-Nicolas J, Brufau-de Barberà M, Cabratosa- Termes J. Use of polyetheretherketone in the fabrication of a maxil- lary obturator prosthesis: a clinical report. J Prosthet Dent. 2014;112(3):680-682. [CrossRef]
  • 15. Tasopoulos T, Chatziemmanouil D, Kouveliotis G, Karaiskou G, Wang J, Zoidis P. PEEK maxillary obturator prosthesis fabrication using intraoral scanning, 3D printing, and CAD/CAM. Int J Prostho- dont. 2020;33(3):333-340. [CrossRef]
  • 16. Gueutier A, Kün-Darbois JD, Laccourreye L, Breheret R. Anatomical and functional rehabilitation after total bilateral maxillectomy using a custom-made bone-anchored titanium prosthesis. Int J Oral Maxil- lofac Surg. 2020;49(3):392-396. [CrossRef]
  • 17. Kapetanakos M, Golden M, Huryn JM. Rehabilitation of a patient after a total maxillectomy with a 2-piece magnetically retained obturator: a clinical report. J Prosthet Dent. 2020;123(1):184-187. [CrossRef]
  • 18. Akay C, Yaluğ S. Kismi maksillektomi yapilmiş hastalarin bukkal uzan- tili obturatör ile protetik rehabilitasyonu: vaka raporu. Atatürk Univ Diş Hekimliği Fak Derg. 2014;24(2):278-282.

Total Maksillektomi Yapılmış Hastanın Maksiller Obturatör İle Protetik Rehabilitasyonu: Olgu Raporu

Year 2023, Volume: 33 Issue: 3, 185 - 190, 31.07.2023
https://doi.org/10.5152/CRDS.2023.4887

Abstract

ÖZ
Rezeksiyon sonrası oluşan maksillofasiyal defektler, oral ve nasal açıklıkların birleşmesiyle çiğ- neme, yutkunma, konuşma gibi fonksiyonel, fonetik ve estetik problemlere neden olmaktadır. Özellikle geniş deformitelerin varlığı, retantif alanlarının eksikliğiyle sonuçlanmakta ve prote- tik tedaviyi zorlaştırmaktadır. Bu olgu raporu, yassı hücreli karsinoma tanısıyla opere edildikten sonra kliniğimize başvuran hastanın obturatör protez ile rehabilitasyonunu anlatmaktadır. Geniş bir maksiller rezeksiyon sahasına sahip ve postoperatif radyoterapi alan hasta, konvansiyonel yolla tedavi edilmiştir. Retansiyon alanlarının eksikliği nedeniyle obturatör mümkün olan en hafif formda hazırlanmış ve ağırlığı arttırmamak için okluzyon oluşturulmamıştır. Elde edilen obturatör, oral ve nasal boşluklar arasında seperasyon sağlayıp hastanın nazogastrik sonda ihtiyacını elimine etmiş ve hipernasal konuşmayı iyileştirmiştir. Ancak beslenme, yumuşak ve sıvı gıdalarla idame edilmiştir. Bu yüzden hasta memnuniyeti sınırlı düzeyde kalmıştır.
Anahtar Kelimeler: maksillektomi, obturatör, yassı hücreli karsinoma

ABSTRACT
Maxillofacial defects that occur after resection cause functional, phonetic, and aesthetic problems such as chewing, swallowing, and speech especially when oral and nasal openings are involved. The large deformities results in a lack of retentive areas and complicates prosthetic treatment. This case report describes the rehabilitation of a patient with maxillary obturator prosthesis who presented to our clinic after being operated with the diagnosis of squamous cell carcinoma. The patient, who had a large maxillary resection site and received postoperative radiotherapy, was treated in a conventional way. Due to the lack of retention areas, the obturator was prepared in the lightest form possible and no occlusion was created to avoid increasing weight. The obturator provided separation between the oral and nasal cavities, eliminating the patient's need for naso- gastric catheter and improved hypernasal speech. However, nutrition has been maintained with soft and liquid foods. Therefore, patient satisfaction remained limited.
Keywords: Maxillectomy, obturator, squamosa cell carsinoma

References

  • 1. Yılmaz C, Çiftçi H, Duymuş ZY. Total maksiller rezeksiyonlarin protetik tedavisi: Olgu sunumu. Atatürk Univ Diş Hekimliği Fak Derg. 2015;25:51-55.
  • 2. Yenisey M, Külünk Ş, Kaleli N. An alternative prosthetic approach for rehabilitation of two edentulous maxillectomy patients: clinical report. J Prosthodont. 2017;26(5):483-488. [CrossRef]
  • 3. Hou YZ, Huang Z, Ye HQ, Zhou YS. Inflatable hollow obturator pros- theses for patients undergoing an extensive maxillectomy: a case report. Int J Oral Sci. 2012;4(2):114-118. [CrossRef]
  • 4. Murat S. Assessment of the accuracy of obturator bulbs that are pro- duced by using cone beam computed tomography and stereolithog- raphy in Maxilloctemy defects: an ex vivo study. JAREM. 2018;8(3): 186-190. [CrossRef]
  • 5. Tirelli G, Rizzo R, Biasotto M, et al. Obturator prostheses following palatal resection: clinical cases. Acta Otorhinolaryngol Ital. 2010; 30(1):33-39.
  • 6. Lethaus B, Lie N, de Beer F, Kessler P, de Baat C, Verdonck HW. Surgi- cal and prosthetic reconsiderations in patients with maxillectomy. J Oral Rehabil. 2010;37(2):138-142. [CrossRef]
  • 7. Wang RR. Sectional prosthesis for total maxillectomy patients: a clinical report. J Prosthet Dent. 1997;78(3):241-244. [CrossRef]
  • 8. Dos Santos DM, de Caxias FP, Bitencourt SB, Turcio KH, Pesque- ira AA, Goiato MC. Oral rehabilitation of patients after maxillectomy. A systematic review. Br J Oral Maxillofac Surg. 2018;56(4):256-266. [CrossRef]
  • 9. Şeker E, Kayiş M. Parsiyel maksillektomi vakalarinin impantüstü bar ve doğal diş destekli bukkal flanj obturatörler ile rehabilitasyonu: 2 vaka raporu. Atatürk Univ Diş Hekimliği Fak Derg. 2016;43(3):179-185.
  • 10. Kurtoğlu C, Gürbüz C. Üst çene defektlerinde obturasyon uygulaması. Atatürk Univ Diş Hekimliği Fak Derg. 2014;24(2): 308-314.
  • 11. Atıcı SS. Maksiller Sinüs Tümörleri; vol 3. KBB Forum; 2012:11.
  • 12. Aladağ Lİ, Güngör H, Ahmetoğlu F, Holoğlu B, Aras MH. Kismi mak- silektomi yapilmiş hastalarin hollow bulb obtüratör ile protetik reha- bilitasyonu: iki vaka raporu. Atatürk Univ Diş Hekimliği Fak Derg. 2009;2009(2):105-110.
  • 13. Gupta C, Jain V. A call for maxillofacial prosthodontist-rehabilitation of bilateral total maxillectomy defect with limited mouth opening: a case report. Adv Med Dent Sci Research. 2020;8(2):91 94.
  • 14. Costa-Palau S, Torrents-Nicolas J, Brufau-de Barberà M, Cabratosa- Termes J. Use of polyetheretherketone in the fabrication of a maxil- lary obturator prosthesis: a clinical report. J Prosthet Dent. 2014;112(3):680-682. [CrossRef]
  • 15. Tasopoulos T, Chatziemmanouil D, Kouveliotis G, Karaiskou G, Wang J, Zoidis P. PEEK maxillary obturator prosthesis fabrication using intraoral scanning, 3D printing, and CAD/CAM. Int J Prostho- dont. 2020;33(3):333-340. [CrossRef]
  • 16. Gueutier A, Kün-Darbois JD, Laccourreye L, Breheret R. Anatomical and functional rehabilitation after total bilateral maxillectomy using a custom-made bone-anchored titanium prosthesis. Int J Oral Maxil- lofac Surg. 2020;49(3):392-396. [CrossRef]
  • 17. Kapetanakos M, Golden M, Huryn JM. Rehabilitation of a patient after a total maxillectomy with a 2-piece magnetically retained obturator: a clinical report. J Prosthet Dent. 2020;123(1):184-187. [CrossRef]
  • 18. Akay C, Yaluğ S. Kismi maksillektomi yapilmiş hastalarin bukkal uzan- tili obturatör ile protetik rehabilitasyonu: vaka raporu. Atatürk Univ Diş Hekimliği Fak Derg. 2014;24(2):278-282.
There are 18 citations in total.

Details

Primary Language English
Subjects Prosthodontics
Journal Section Case Reports
Authors

Deniz Kılıç This is me

Orhun Ekren This is me

Publication Date July 31, 2023
Submission Date February 22, 2021
Published in Issue Year 2023 Volume: 33 Issue: 3

Cite

AMA Kılıç D, Ekren O. Total Maksillektomi Yapılmış Hastanın Maksiller Obturatör İle Protetik Rehabilitasyonu: Olgu Raporu. Curr Res Dent Sci. July 2023;33(3):185-190. doi:10.5152/CRDS.2023.4887

Current Research in Dental Sciences is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

29936