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Hemi-maksillektomi Hastası için İmplant Destekli Obturatör: Bir Olgu Sunumu

Year 2024, Volume: 3 Issue: 2, 76 - 79, 19.05.2024

Abstract

Amaç: Adenoid kistik karsinom tüm baş boyun maligniteleri içinde %1 oranında ve
tüm tükürük bezi maligniteleri arasında %10 oranında en sık 6.-7. dekadlarda görülür. Daha yüksek oranda kadınlarda ve sıklıka baş ve boyun bölgesinde görülür. Günümüzde ACC'nin ana tedavisi cerrahidir. Bu vaka raporu, adenoid kistik karsinom (ACC) nedeniyle hemi-maksillektomi yapılan bir hastanın implant destekli obturatör ile rehabilitasyonunu anlatmaktadır.
Olgu: 67 yaşında kadın hasta protetik rehabilitasyon için kliniğimize başvurmuştur. Hasta daha önce başka bir merkezde adenoid kistik karsinom nedeniyle sağ üst çene hemi-maksillektomi operasyonu geçirmiştir. Hastaya implant destekli obturatör tedavisi planlanmıştır. Hastaya dört tane maksillaya ve iki tane mandibulaya olmak üzere toplam altı adet implant yerleştirilmiştir. İmplantların osseointegrasyonunun tamamlanmasının ardından hastaya dental implantlarla desteklenen bir obturatör protez yapılmıştır . Hasta dört yıldır takip edilmektedir. Bu süre zarfında birçok kez implantlar başarısız olmuş, yerlerine yeni implantlar yerleştirilmiştir. Obturatör yenilenmemiş, iki kez yeni implantalara adapte edilerek kullanılmıştır. Hasta dört yıl geçmesine rağmen implant destekli obturatörünü kullanmaya devam etmektedir.
Sonuç: İmplant destekli obturatörler bu tür rezektif cerrahilerin rehabilitasyonu için iyi bir seçenektir. Hastanın kaybolan konuşma, çiğneme gibi fonksiyonlarını iyi bir şekilde rehabilite ederler.

References

  • 1. Sujata, D., Subramanyam, S., Jyothsna, M. & Pushpanjali, M. Adenoid cystic carcinoma: An unusual presentation. Journal of Oral and Maxillofacial Pathology vol. 18 286 Preprint at https:// doi.org/10.4103/0973-029x.140796 (2014).
  • 2. Chummun, S. et al. Adenoid cystic carcinoma of the head and neck. Br. J. Plast. Surg. 54, 476–480 (2001).
  • 3. Nascimento, A. G., Amaral, A. L. P., Prado, L. A. F., Kligerman, J. & Silveira, T. R. P. Adenoid cystic carcinoma of salivary glands. A study of 61 cases with clinicopathologic correlation. Cancer vol. 57 312–319 Preprint at https://doi.org/10.1002/1097- 0142(19860115)57:2<312::aid-cncr2820570220>3.0.co;2-a (1986).
  • 4. Stell, P. M., Cruikshank, A. H., Stoney, P. J., Canter, R. & McCORMICK, M. S. Adenoid cystic carcinoma: the results of radical surgery. Clinical Otolaryngology vol. 10 205–208 Preprint at https://doi.org/10.1111/j.1365-2273.1985.tb00242.x (1985).
  • 5. Maciejewski, A., Szymczyk, C. & Wierzgon, J. Outcome of surgery for adenoid cystic carcinoma of head and neck region. J. Craniomaxillofac. Surg. 30, 59–61 (2002).
  • 6. Kaya, N. & Kiliç, S. Maksiller defektlerde dental implant uygulamaları ve yaşam kalitesine olan etkisi : literatür derlemesi. Selcuk Dental Journal Preprint at https://doi.org/10.15311/ selcukdentj.928026 (2022).
  • 7. Landes, C. A. Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment ofquality of life. Clinical Oral Implants Research vol. 16 313–325 Preprint at https://doi.org/10.1111/j.1600-0501.2005.01096.x (2005).
  • 8. Puryer, J. & Forbes-Haley, C. An implant-retained obturator – a case study. Dental Update vol. 44 415–422 Preprint at https://doi. org/10.12968/denu.2017.44.5.415 (2017).
  • 9. Foote, F. W., Jr & Frazell, E. L. Tumors of the major salivary glands. Cancer 6, 1065–1133 (1953).
  • 10. Dillon, P. M., Chakraborty, S., Moskaluk, C. A., Joshi, P. J. & Thomas, C. Y. Adenoid cys tic carcinoma: A review of recent advances, molecular targets, and clinical trials. Head Neck 38, 620–627 (2016).
  • 11. Sharma, A. B. & Beumer, J. Reconstruction of Maxillary Defects: The Case for Prosthetic Rehabilitation. Journal of Oral and Maxillofacial Surgery vol. 63 1770–1773 Preprint at https://doi. org/10.1016/j.joms.2005.08.013 (2005).

An Implant Supported Obturator for Hemi-maxillectomy Patient: A Case Report

Year 2024, Volume: 3 Issue: 2, 76 - 79, 19.05.2024

Abstract

Objective: Adenoid cystic carcinoma is 1% among all head and neck malignancies, 10%
among all salivary gland malignancies, the most common 6-7 decade. It is seen in women
more frequently and often in the head and neck parts.Nowadays,the main treatment of ACC
is surgery. This case report presents the rehabilitation of a patient with an implant-supported
obturator following maxillary hemi-section due to adenoid cystic carcinoma(ACC).
Case: The 67-year-old female patient applied to our clinic for prosthetic rehabilitation. The
patient had previously undergone right hemi-maxillectomy for adenoid cystic carcinoma in
another center. Implant supported obturator treatment was planned for the patient. A total
of six implants were placed, four in the maxilla and two in the mandible. After the implant
osseointegration was completed, an obturator which was supported by the dental implants was
applied. The patient has been followed up for four year. During this period, many time implants
failed. New implants were placed instead of them. The obturator has not been completely
renewed, it has been adjusted twice by making changes in it. The patient still uses her implant
supported obturator even after four years.
Conclusion: Implant supported obturators are a good option for the treatment of such resective
surgeries. They rehabilitate the patient’s lost functions such as speech and chewing well.

References

  • 1. Sujata, D., Subramanyam, S., Jyothsna, M. & Pushpanjali, M. Adenoid cystic carcinoma: An unusual presentation. Journal of Oral and Maxillofacial Pathology vol. 18 286 Preprint at https:// doi.org/10.4103/0973-029x.140796 (2014).
  • 2. Chummun, S. et al. Adenoid cystic carcinoma of the head and neck. Br. J. Plast. Surg. 54, 476–480 (2001).
  • 3. Nascimento, A. G., Amaral, A. L. P., Prado, L. A. F., Kligerman, J. & Silveira, T. R. P. Adenoid cystic carcinoma of salivary glands. A study of 61 cases with clinicopathologic correlation. Cancer vol. 57 312–319 Preprint at https://doi.org/10.1002/1097- 0142(19860115)57:2<312::aid-cncr2820570220>3.0.co;2-a (1986).
  • 4. Stell, P. M., Cruikshank, A. H., Stoney, P. J., Canter, R. & McCORMICK, M. S. Adenoid cystic carcinoma: the results of radical surgery. Clinical Otolaryngology vol. 10 205–208 Preprint at https://doi.org/10.1111/j.1365-2273.1985.tb00242.x (1985).
  • 5. Maciejewski, A., Szymczyk, C. & Wierzgon, J. Outcome of surgery for adenoid cystic carcinoma of head and neck region. J. Craniomaxillofac. Surg. 30, 59–61 (2002).
  • 6. Kaya, N. & Kiliç, S. Maksiller defektlerde dental implant uygulamaları ve yaşam kalitesine olan etkisi : literatür derlemesi. Selcuk Dental Journal Preprint at https://doi.org/10.15311/ selcukdentj.928026 (2022).
  • 7. Landes, C. A. Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment ofquality of life. Clinical Oral Implants Research vol. 16 313–325 Preprint at https://doi.org/10.1111/j.1600-0501.2005.01096.x (2005).
  • 8. Puryer, J. & Forbes-Haley, C. An implant-retained obturator – a case study. Dental Update vol. 44 415–422 Preprint at https://doi. org/10.12968/denu.2017.44.5.415 (2017).
  • 9. Foote, F. W., Jr & Frazell, E. L. Tumors of the major salivary glands. Cancer 6, 1065–1133 (1953).
  • 10. Dillon, P. M., Chakraborty, S., Moskaluk, C. A., Joshi, P. J. & Thomas, C. Y. Adenoid cys tic carcinoma: A review of recent advances, molecular targets, and clinical trials. Head Neck 38, 620–627 (2016).
  • 11. Sharma, A. B. & Beumer, J. Reconstruction of Maxillary Defects: The Case for Prosthetic Rehabilitation. Journal of Oral and Maxillofacial Surgery vol. 63 1770–1773 Preprint at https://doi. org/10.1016/j.joms.2005.08.013 (2005).
There are 11 citations in total.

Details

Primary Language English
Subjects Facial Plastic Surgery
Journal Section Case Report
Authors

Gökhan Gürses 0000-0002-3825-4650

Fulya İdil Ömeroğlu Akkoç 0000-0002-4162-0818

Necla Demir 0000-0003-0927-6962

Aslı Ataseven 0000-0002-0699-7150

Ahmet Aktı 0000-0002-3447-0065

Abdullah Kalaycı 0000-0001-5060-8901

Early Pub Date May 15, 2024
Publication Date May 19, 2024
Published in Issue Year 2024 Volume: 3 Issue: 2

Cite

Vancouver Gürses G, Ömeroğlu Akkoç Fİ, Demir N, Ataseven A, Aktı A, Kalaycı A. An Implant Supported Obturator for Hemi-maxillectomy Patient: A Case Report. EJOMS. 2024;3(2):76-9.

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