The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Prosthetic rehabilitation for a glossectomy patient - a clinical report

혀절제술을 시행한 환자의 보철적 수복 증례

  • Yoon, Jiyoung (Department of Dentistry, College of Medicine, Inha University) ;
  • Lee, Siho (Department of Dentistry, College of Medicine, Inha University) ;
  • Lee, Jiyoen (Department of Dentistry, College of Medicine, Inha University) ;
  • Oh, Namsik (Department of Dentistry, College of Medicine, Inha University)
  • 윤지영 (인하대학교 의과대학 치과보철학교실) ;
  • 이시호 (인하대학교 의과대학 치과보철학교실) ;
  • 이지연 (인하대학교 의과대학 치과보철학교실) ;
  • 오남식 (인하대학교 의과대학 치과보철학교실)
  • Received : 2013.08.29
  • Accepted : 2013.10.01
  • Published : 2013.10.31
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Abstract

Malignant tumours of the oral cavity that require resection of the tongue result in severe deficiencies in speech and deglutition. In such patients, improvements in mastication, swallowing, and speech may be reasonable goals for treatment. The viability of a prosthodontic approach to treatment depends on the type and extent of surgery. In a total glossectomy, a mandibular tongue prosthesis is the treatment of choice. Mandibular tongue prosthesis occupies the space in the floor of the oral cavity. It provides the patients with a platform for directing food into the esophagus and aids in speaking. This type of prosthesis can achieve that protection of the underlying fragile tissue and improvement in appearance and psychosocial adjustment. This case report describes the technical steps involved in prosthetic rehabilitation for a glossectomy patient.

혀는 정확한 근신경계의 조화에 의해 저작, 연하, 발음과 같은 복잡한 기능을 수행하는 데 중요한 역할을 한다. 악성종양으로 인해 구강 내 혀를 절제해야 하는 경우에 환자는 발음 및 연하에 큰 어려움을 겪게 된다. 이러한 환자에 있어 보철적 치료 목표는 저작, 연하 및 발음을 증진시키는 것이다. 보철적 수복 방법은 수술의 종류 및 범위에 의해 결정된다. 완전 혀 절제술(Total glossectomy)을 시행한 경우에는 하악-혀장치(mandibular tongue prosthesis)를 선택하며 악-혀장치(Mandibular tongue prosthesis)는 혀 보철물로 구강저를 채우는 것이다. 이렇게 형성한 혀 보철물은 음식이 식도로 넘어가는 입구(platform)를 형성해주고 발음을 향상시키며 하방의 연약한 이식 조직을 보호하고 외형 및 심리사회적으로 우수하다는 장점을 가진다. 본 증례에서는 완전 혀 절제술(total glossectomy)를 시행한 환자를 위해 보철적으로 수복하는 임상과정을 논의하고자 한다.

Keywords

References

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