上颌部分切除缺损患者临时空心球闭孔的康复治疗

C. Lakshmi, S. Pai, K. Ramachandra, S. Afzaa, Afreen Kouser
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引用次数: 0

摘要

上颌部分或全部切除患者通常首选上颌闭孔假体。闭孔假体的重量通常是修复医师关注的主要问题,因为它可能导致咀嚼功能的不便。上颌缺损可能是先天性的,也可能是后天的;因此,后者往往导致患者遇到一系列的身体和心理困扰。由于缺损面积很大,这类患者的康复往往具有挑战性。达到足够的保留是最重要的,因为它加强了闭孔肌肉骨骼的协调。本病例报告中描述的处理技术是使用单步烧瓶工艺的失盐技术,该工艺是相应地定制的,在烧瓶上使用热固化丙烯酸树脂作为止点,以容纳封闭的空心闭孔假体作为单个单元。本文描述了一例因黏液表皮样细胞癌而行半上颌部分切除术的患者,并采用空心闭孔假体修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rehabilitation of the patient with a partial maxillectomy defect with an interim hollow bulb obturator
Maxillary obturator prosthesis is usually preferred for patient going through partial or total maxillectomy. The heavy weight of the obturator prosthesis is usually a major concern to the prosthodontist as it may cause inconvenience with masticatory function. The maxillary defect may be congenital or acquired; hence, the latter often leads to patients encountering an array of physical and psychological distress. Rehabilitation of such patients is often challenging due to the extent of the defect area. Achieving adequate retention is of utmost importance as it reinforces the obturator musculoskeletal coordination. The processing technique described in this case report is the lost salt technique using a single-step flasking procedure which was customized accordingly with heat-cure acrylic resin as stops on the flask to accommodate the closed hollow obturator prosthesis as a single unit. This article describes the management of a patient who had undergone partial hemimaxillectomy secondary to mucoepidermoid cell carcinoma rehabilitated with hollow obturator prosthesis.
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