DOI QR코드

DOI QR Code

Maxillofacial rehabilitation of adenoid cystic carcinoma patient using full mouth fixed implant and pharyngeal obturator: a clinical report

선양낭포암 환자에서 전악 고정성 임플란트와 인두 폐쇄장치를 이용한 악안면 수복증례

  • Ban, Min-Hee (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yang, Hong-So (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Chan (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Shin, Jin-Ho (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 반민희 (전남대학교 치의학전문대학원 보철학교실) ;
  • 양홍서 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 보철학교실) ;
  • 임현필 (전남대학교 치의학전문대학원 보철학교실) ;
  • 윤귀덕 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박찬 (전남대학교 치의학전문대학원 보철학교실) ;
  • 신진호 (전남대학교 치의학전문대학원 보철학교실)
  • Received : 2016.09.29
  • Accepted : 2016.12.19
  • Published : 2016.12.30

Abstract

Rehabilitation of maxillectomy patients is challenging. The maxillary defects need to functional restoration because of mastication, speech, swallowing problems. The goal of making obturator is to restore maxillary defects and give patients comfortable, esthetic prosthesis. This case report presents acquired masticatory and esthetic results and improved retention resulting from the pharyngeal obturator prosthesis using implant.

상악절제술 후 환자들의 재건 치료는 쉽지 않은 과정이다. 상악골 결손은 저작, 발음, 연하 장애를 초래하여 기능적인 회복이 필요하다. 폐쇄장치 제작의 목표는 결손부를 대체하여 구강기능을 회복하고 환자에게 편안함과 심미성을 제공하는 것이다. 본 증례에서는 임플란트를 이용한 인두 폐쇄장치 제작 후 획득한 저작력과 심미성 그리고 개선된 유지력을 보고하고자 한다.

Keywords

References

  1. Spiro RH, Huvos AG, Strong EW. Adenoid cystic carcinoma of salivary origin. A clinicopathologic study of 242 cases. Am J Surg 1974;128:512-20. https://doi.org/10.1016/0002-9610(74)90265-7
  2. Haralur SB, Shah FK. Prosthetic rehabilitation of a patient with adenoid cystic carcinoma with continuous orbital-maxillary defect. BMJ Case Rep 2013 Apr 18;2013. pii: bcr2013009313. doi: 10.1136/bcr-2013-009313.
  3. Brown KE. Clinical considerations improving obturator treatment. J Prosthet Dent 1970;24:461-6. https://doi.org/10.1016/0022-3913(70)90085-5
  4. Brown KE. Peripheral consideration in improving obturator retention. J Prosthet Dent 1968;20:176-81. https://doi.org/10.1016/0022-3913(68)90143-1
  5. Eckert SE, Desjardins RP, Taylor TD. Clinical maxillofacial prosthetics. 1st ed. Chicago; Quintessence publishing; 2000. p. 125-31.
  6. Keyf F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehabil 2001;28:821-9. https://doi.org/10.1046/j.1365-2842.2001.00754.x
  7. Esposito SJ, Rieger J, Beumer J. Rehabilitation of soft palate defects. In: Beumer J, Marunick MT, Esposito SJ. Maxillofacial rehabilitation: prosthodontic and surgical management of cancer-related, acquired, and congenital defects of the head and neck. 3rd ed. Chicago; Quintessence Publishing; 2011. p. 213.
  8. Ackerman AJ. The prosthetic management of oral and facial defects following cancer surgery. J Prosthet Dent 1955;5:413-32. https://doi.org/10.1016/0022-3913(55)90050-0
  9. Desjardins RP. Obturator prosthesis design for acquired maxillary defects. J Prosthet Dent 1978;39:424-35 https://doi.org/10.1016/S0022-3913(78)80161-9
  10. Kaires AK. Effect of partial denture design on bilateral force distribution. J Prosthet Dent 1956;6:373-85. https://doi.org/10.1016/0022-3913(56)90058-0