LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU

Yıl 2019, Cilt: 29 Sayı: 3, 485 - 490, 16.07.2019

Hatice Ağan Ayhan Gürbüz Rukiye Durkan Gdnca Deste

https://doi.org/10.17567/ataunidfd.271090

Öz

ABSTRACT

Transoral endoscopic laser surgery, radiotherapy, chemotheraphy or
combination of these are used in the
management of laryngeal squamous
cell cancers. When the neck tissues are
exposed to high doses of radiation, this may affect the patient’s oral health.
The side effects of radiation therapy include mucositis, altered salivary gland
function and risk of mucosal infection. Xerostomia is a common and significant consequence
of neck radiotherapy. Because of the loss of saliva, patients with xerostomia
are more susceptible to periodontal disease, bacterial infections and rampant
caries.  These undiserable side effects
can adversely affect patients’ life quality. The aim
of this case report is to the fabrication of fixed and removable dental prosthesis for a
patient with laryngeal squamous cell cancer because of partial laryngectomy and bilateral
functional neck dissection cancer surgery and
postoperative radiotherapy.

 Keywords:
Laryngeal
Squamous Cell Cancer, Radiotherapy,
Fixed And Removable Dental Prosthesis, Rampant
Caries

Laringeal
skuamoz hücreli kanserli hastada postoperatif radyoterapi sonrasında
sabit-hareketli dental protez tedavisi: Vaka Raporu

ÖZ

Laringeal squamoz hücreli
kanserlerin tedavisinde transoral lazer cerrahisi, radyoterapi, kemoterapi veya
bu tedavilerin kombinasyonları kullanılmaktadır. Yüksek doz raduoterapi
uygulandığı zaman bu durum hastanın oral sağlığını etkileyebilmektedir.
Radyasyon tedavisinin yan etkileri mukozit, tükürük bezlerinde fonksiyon
değişiklikleri ve mukozal infeksiyon risklerinin artmasını içermektedir.
Kserostomi boyun radyoterapileri sonunda yaygın gözlenen önemli bir sonuçtur.
Tükürük kaybına bağlı olarak gelişen kserostomide rampant kariesler, bakterial
infeksiyonlar ve periodontal hastalıklara yatkınlık oluşmaktadır. Bu istenmeyen
yan etkiler hastanın yaşam kalitesini olumsuz etkilemektedir. Bu vaka raporunun
amacı; Laringeal squamoz hücreli kanserden dolayı parsiyel laringektomi ve
bilateral boyun diseksiyonu kanser cerrahisi geçiren ve post operatif
radyoterapi gören hastanın sabit ve hareketli dental protezler ile tedavisi
sunulmaktadır.

Anahtar Kelimeler: laringeal
skuamoz hücreli kanser, radyoterapi, sabit ve hareketli dental
protezler, rampant karies

Anahtar Kelimeler

Laryngeal Squamous Cell Cancer, Radiotherapy, Fixed And Removable Dental Prosthesis

Kaynakça

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