检索结果-南通市图书馆

Aesthetic rehabilitation of a patient with an anterior maxillectomy defect,using an innovative single-step,single unit,plastic-based hollow obturator

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Plastic and Aesthetic Research 2015年第1期2卷 140-143页

作者： Vishwas Bhatia Garima Bhatia Department of Prosthodontics King Khalid UniversityAbha 61412Saudi Arabia Department of Oral Medicine and Radiology PDM Dental College and HospitalBahadurgarhHaryana 124507India

What could be better than improving the comfort and quality of life of a patient with a life-threatening disease?maxillectomy,the partial or total removal of the maxilla in patients suffering from benign or malignant neoplasms,creates a challenging defect for the maxillofacial prosthodontist when attempting to provide an effective *** previous methods have been described for rehabilitation of such patients,our goal should be to devise one stage techniques that will allow the patient an improved quality of life as soon as *** present report describes the aesthetic rehabilitation of a maxillectomy patient by use of a hollow *** obturator is fabricated through a processing technique which is a variation of other well-known techniques,consisting of the use of a single-step flasking procedure to fabricate a single-unit hollow obturator using the lost salt *** our aim is to aesthetically and functionally rehabilitate the patient as soon as possible,the present method of restoring the maxillectomy defect is cost-effective,time-saving and beneficial for the patient.

关键词： Aesthetics maxillectomy palatal obturator plastic-based squamous cell carcinoma

Effectiveness of a Custom-Made Temporary Obturator after Bilateral Total maxillectomy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2013年第7期4卷 322-324页

作者： Kenji Nakamori Manabu Yamagishi Keigo Takaya Tomohiro Igarashi Hiroyoshi Hiratsuka Dental Laboratory Unit Sapporoy Medical University Hospital Sapporo Japan Department of Oral Surgery Sapporoy Medical University Sapporo Japan

Large oro-antral communication, associated with total maxillectomy, may lead speech and/or swallowing dysfunction. These surgical defects are packed with obuturator or prosthesis following surgery;however, achieving retention and stability is dependent on anatomical conditions. A 68-year-old Japanese female with large oro-antral communication arising because of bilateral total maxillectomy was referred for evaluating application of obturator. The temporary obturator was constructed as underlying 3 mm thick and covereing 1.5 - 2 mm thick ethylene vinyl acetate sheet (EVA). These two sheets formed the flexible hollow bulb portion, which aided retention and stability by engaging the undercut portion of the surgical defect. For the patients who have difficulty anatomical features for conventional prosthesis, this type of temporary obturator made with EVA sheets could be an effective solution in the early postoperative period.

关键词： Custom-Made Temporary Obturator Bilateral maxillectomy Ethylene Vinyl Acetate

Management of the recalcitrant upper lip

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Plastic and Aesthetic Research 2018年第1期5卷 1-6页

作者： Al Haitham Al Shetawi Rui Fernandes Division of Head&Neck Surgery Department of Oral&Maxillofacial SurgeryUniversity of Florida HealthJacksonvilleFL32209USA Maxillofacial Head&Neck SurgeryDivision of Surgical OncologyVassar Brothers Medical CenterDyson Center for Cancer CarePoughkeepsieNY12601USA

The aim of this study was to present our experience in the management of the recalcitrant upper lip and describe the surgical technique. We took a retrospective chart review of all patients who underwent reconstruction of the recalcitrant upper lip after maxillectomy and radiation therapy. Three female patients were identified. All patients had a history of malignant maxillary tumors, mucoepidermoid carcinoma (n = 1), verrucous carcinoma (n = 1), squamous cell carcinoma (n = 1). Tumor extirpation was carried out through total maxillectomy (n = 2), and bilateral subtotal maxillectomy (n = 1). Primary reconstruction was accomplished with scapula free flap (n = 1), fibula free flap (n = 1), and nonvascularized iliac crest bone graft (n = 1). Two patients underwent adjuvant radiotherapy. All patients developed recalcitrant upper lip. All patients had secondary reconstruction to correct of the recalcitrant upper lip using radial forearm free flap. All patients had successful dental rehabilitation. The mean follow-up was 5 years (range 3-7 years). Subjective functional and aesthetic outcome was assessed in all patients at the last follow up visit. All patients reported subjective improvement in speech, mastication and aesthetics. Free tissue transfer provides an ideal method to reconstruct the recalcitrant upper lip. Favorable functional and aesthetic outcomes can be successfully achieved using the technique described in this series.

关键词： Recalcitrant upper lip upper lip reconstruction maxillectomy radiation therapy

Oral Health Management of Three Head and Neck Cancer Patients Performed by Dental Hygienists

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2023年第12期15卷 1402-1414页

作者： Aiko Hoshiai Meiko Oki Taiji Hoshiai Toshiaki Iida Yuka I. Sumita Shigeru Watanabe Department of Pediatric Dentistry/Special Needs Dentistry Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan Department of Oral Health Sciences School of Health Sciences Meikai University Chiba Japan Department of Basic Oral Health Engineering Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan Department of Dentistry Tokyo Metropolitan Fuchu Medical Center for the Disabled Tokyo Japan TI Dental Clinic Tokyo Japan Division of General Dentistry 4 The Nippon Dental University Hospital Tokyo Japan Tokyo Medical and Dental University (TMDU) Tokyo Japan

Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.

关键词： Head and Neck Cancer Dental Hygienist Oral Health Management maxillectomy Mandibulectomy Interstitial Radiotherapy

Maxillary Sinus Schwannoma—A Rare Tumor with Rarer Site of Occurrence

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2023年第3期12卷 197-202页

作者： Subbiah Shanmugam Sujay Susikar Suyash Singodiya Department of Surgical Oncology Government Kilpauk Medical College and Government Royapettah Hospital Chennai Tamil Nadu India

Schwannoma or neurilemmoma is a neurogenic tumor. Around 25% - 45% cases of schwannomas occur in the head and neck, of which less than 4% occurs in the nasal cavity and the paranasal sinuses. Isolated schwannomas of the maxillary sinus appear to be extremely rare. We present one such rare case of Right Maxillary Sinus schwannoma in a 48-year-old lady with swelling in the right cheek for 3 years. Infrastructure maxillectomy of the right side was done using Weber-Fergusson approach with Dieffenbach’s modification. The patient made a good postoperative recovery. We report this case keeping in mind the rarity in occurrence of isolated maxillary schwannomas.

关键词： Schwanoma Maxillary Sinus maxillectomy

A Review of Inverted Papilloma at a Tertiary Centre: A Six-Year Experience

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2013年第5期2卷 156-159页

作者： Chiun Kian Chai Ing Ping Tang Narayanan Prepageran Department of Otorhinolaryngology Faculty of Medicine University Malaysia Sarawak Kota Samarahan Malaysia Department of Otorhinolaryngology University of Malaya Kuala Lumpur Malaysia

Objectives: To evaluate the clinical presentation and treatment outcome of all patients treated for inverted papilloma at the University Malaya Medical Centre, Malaysia. Methods: A retrospective review of 22 patients with inverted papilloma, treated at our centre, from 1st January 2005 to 31st August 2011. The demographic data, clinical features, radiological findings, surgical procedures, recurrent rate and malignant transformation were assessed. Result: The commonest presentation was a unilateral nasal blockage, comprising 77.3% cases. A total of 19 patients had undergone endoscopic surgery while three patients had open surgery performed. The mean duration of the follow-up period was 30.5 months. Seven (31.7%) patients were detected of tumour recurrence during the entire course of follow-up. However, throughout the follow-up period, none had demonstrated malignant transformation. Conclusion: Endoscopic medial maxillectomy is a well-accepted approach in treating inverted papilloma. Nevertheless, open surgery still plays an important role in extensive diseases and in cases of malignancy. Unilateral nasal obstruction is the most important symptom. Repeated pre-operative biopsy or perhaps frozen section of intraoperative biopsies is necessary to avoid misdiagnosis. Krouse stage II disease showed the highest recurrent rate of 18.2%. Lifelong follow-up and emphasis on adherence is mandatory for early detection of recurrence and malignant transformation.

关键词： Inverted Papilloma Medial maxillectomy Endoscopic Surgery

subjective hierarchy system of facial soft-tissue asymmetry caused by maxillary defect and correlation between maxillary defect and soft-tissue asymmetry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

subjective hierarchy system of facial soft-tissue asymmetry ...

Surgical obturator duplicating original tissue-form restores esthetics and function in oral cancer

2019第一届全国口腔颌面-头颈肿瘤学术大会——聚合引领、协同发展

作者：黄莹张杰北京大学口腔医院

Purpose/Background:The aim of this study is to preliminarily establish a subjective hierarchy system of facial soft-tissue asymmetry caused by maxillary defect. In addition, quantify facial soft-tissue asymmetry objectively based on stereophotogrammetry. Thereby, investigate the correlation between maxillary defect and the soft-tissue asymmetry, and provide a quantitative basis for prediction of facial symmetry in patients with maxillary defect after maxillectomy.

关键词： maxillectomy soft-tissue asymmetry objective sujective stereophotogrammetry

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

World Journal of Stomatology 2013年第4期2卷 97-102页

作者： Pravinkumar G Patil Department of Prosthodontics Government Dental College and HospitalNagpurMH 440003India

Oral cancer treatment primarily focused on the surgical removal of cancer tissues followed by surgical/prosthetic *** of the missing structures immediately after surgery shortens recovery time and allows patient to return to community as a functioning *** most practiced surgical obturators are simple resin prosthetic bases without incorporation of the *** article highlights a technique to fabricate a surgical obturator that duplicates patient’s original tissue form including teeth,alveolus and palatal *** obturator is placed immediately after surgery and make patient feel unaware of surgical *** obturator prosthesis fabricated with this technique supports soft tissues and minimizes the scar *** have clinically tried this technique in 11 ***’satisfaction level was recorded on visual analogue scale(VAS)and it ranges between 74%and 94%(with average of 87%).Four different prosthodontists have visually evaluated facial asymmetry of patients at6 mo recall and their average perception on VAS varies between 71%and 93%(with average of 84%).

关键词： Maxillofacial prosthesis maxillectomy Obturator prosthesis