为一名涎粘液瘤病后上颌骨部分切除缺损的患者制作最终的闭锁器:病例报告

Amuthan. S, Shakila. R, Ranukumari. A
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引用次数: 0

摘要

粘孢子菌病是一种进展迅速、危及生命的真菌感染。手术后,鉴于病例总数以及口面部在之前的 COVID-19 大流行中的主要参与情况,我们预计会有更多的人出现口面部异常。因此,为了提高粘液瘤患者的生活质量,颌面修复的康复至关重要。术后上颌骨缺损可通过手术和修复程序进行康复。作为修复管理的一部分,钝器可促进有效的脱臼和发音。在腭部缺损的病例中,它还能为面部软组织提供支撑,以恢复面中部的轮廓。本病例报告介绍了如何为一名上颌骨术后缺损的患者制作最终的腭钝器,患者佩戴的是由聚甲基丙烯酸甲酯(PMMA)制成的临时钝器。食物嵌塞和对组织缺损处配合面的刺激,导致组织表面出现红斑,使用临时闭塞器时感到不适。在剩余牙齿和组织的支持下,制作了由钴和铬制成的最终闭锁器。修复体没有退化,随访结果令人满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fabrication of a definitive obturator for a patient with partial maxillectomy defect following post-covid mucormycosis: A case report
Mucormycosis was a rapidly progressing and life-threatening fungal infection. After surgery, we should anticipate seeing more individuals with orofacial abnormalities given the total number of cases and the orofacial region's primary involvement in the previous COVID-19 pandemic. Thus, in order to improve the quality of life for individuals suffering from mucormycosis, maxillofacial prosthetic rehabilitation is of paramount importance. Postoperative maxillary defects can be rehabilitated through surgical and prosthetic procedures. An obturator was utilized as a part of prosthetic management to facilitate efficient deglutition and articulation. It also provides support for the facial soft tissue to restore the midfacial contour in cases of palatal defects. This case report describes about the fabrication of a definitive palatal obturator for a patient with postsurgical maxillary defect wearing interim obturator made of polymethyl methacrylate (PMMA). Food impaction and irritation of the fitting surface over the tissue defect, resulting in erythema to the tissue surface and discomfort of using interim obturator. With the remaining teeth and tissues serving as support, the definitive obturator made of cobalt and chromium was made. With no degradation in the prosthesis, the follow-up showed satisfactory outcomes.
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