Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation

Cheng, Chen; Ren, Wenhao; Gao, Ling; Cheng, Ziyang; Zhang, Linmei; Li, Shaoming; Zhi, Pro Ke-qian

doi:10.1016/j.bjorl.2015.10.006

Cited by 50 publications

(61 citation statements)

References 23 publications

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“…Après la chirurgie, l'obturateur a pour objectif de fermer le défaut, de séparer la cavité buccale des cavités nasales et/ou sinusiennes, de prévenir la régurgitation nasale de nourriture et de liquides [19]. Il est réalisé idéalement avant la chirurgie puis mis en place immédiatement après l'exérèse carcinologique afin de guider la cicatrisation tissulaire et de protéger la plaie opératoire.…”

Section: Apport De L'obturateurunclassified

Le carcinome muco-épidermoïde du palais : présentation de deux cas et revue de la littérature

Bridonneau

Quinque

Zink

et al. 2017

Med Buccale Chir Buccale

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Résumé -Introduction :Le carcinome muco-épidermoïde (CME) est une tumeur maligne rare qui se développe à partir des glandes salivaires. Son traitement comporte la chirurgie associée ou non à la radiothérapie en fonction du grade histologique. Observation : Nous rapportons les cas de découverte fortuite de CME chez deux jeunes filles adressées par leur chirurgien-dentiste traitant. L'examen a mis en évidence une lésion maculaire ou papulaire de couleur violacée localisée au niveau du palais dur. L'examen anatomopathologique a confirmé le diagnostic d'un CME de bas grade dans les deux cas. Une tomographie volumique par faisceau conique, un scanner cervico-thoracoabdomino-pelvien et une imagerie par résonance magnétique ont été réalisés dans le cadre du bilan d'extension. Le traitement a consisté dans les deux cas en une exérèse de la lésion avec marge. Une prothèse obturatrice a été mise en place en per-opératoire pour fermer la communication bucco-nasale. Dans un cas, une reconstruction de la perte de substance par un lambeau de rotation palatin a été effectuée au bout de 2 ans de suivi. Discussion : La découverte d'un CME chez des jeunes patients est rare. Ces deux observations permettent de faire le point sur la prise en charge de ce type de cancer en fonction des caractéristiques histologiques. Abstract -Palatal mucoepidermoid carcinoma: diagnosis and multidisciplinary care. Introduction:Mucoepidermoid carcinoma (MEC) is a malignant tumor of the salivary glands. Depending on the histological grading, treatment requires surgery with or without radiotherapy. Observation: Two cases of MEC in young female patients are described. The clinical examination revealed a purplish lesion located on the hard palate. The histological examination confirmed the diagnosis of a low-grade MEC. Cone beam computed tomography, a cervicothoracic CT scan and a MRI were performed in order to control lesion extension and exclude a metastatic evolution. Resection of the lesion was performed and oro-nasal communication was immediately closed by a prosthetic obturator. In one case, no recurrence was observed, and closure of the oro-nasal communication was performed two years later by a palatal rotation flap. Discussion: MEC in adolescents is rare. These observations are opportunity to review the management of this type of cancer with regard to histological typing.

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Section: Apport De L'obturateurunclassified

Le carcinome muco-épidermoïde du palais : présentation de deux cas et revue de la littérature

Bridonneau

Quinque

Zink

et al. 2017

Med Buccale Chir Buccale

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“…2) [7,9,12,13,17,18]. Показатели пациентки В. по данному опроснику выше или соответствуют верхней границе приведенных интервалов, что свидетельствует о более высоком уров-не качества жизни по каждой из функциональных шкал.…”

Section: результатыunclassified

“…Резкое сниже-ние показателей опросников качества жизни пациентов с опухолями головы и шеи может быть обусловлено несколькими факторами: наличием злокачественного процесса, госпитализацией в челюстно-лицевое отде-ление, информированием о методах и сроках лечения, ухудшением общего состояния после оперативного вмешательства, личностной тревогой по поводу исхода заболевания и возможностью сохранения прежнего социального статуса [6,7].…”

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Evaluation of quality of life of a patient with malignant tumor of the oropharyngeal area during antitumor treatment

Izhnina¹,

Кочурова²,

Лапина³

et al. 2017

Opuholi golovy šei

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Материалы и методы. Проанализировано качество жизни пациентки с аденокистозным раком слюнной железы (T3N0M0) по международным шкалам и опросникам: FACT-H&N, QLQ-C30 H&N35, OHIP-14 (для оценки стоматологического здоровья пациентов, в том числе с опухолями головы и шеи), Карновского, ECOG Perfomance Status, EORTC -QLQ-C30, SF-36 (для оценки общесоматического здоровья

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“…This questionnaire has been validated and used by other investigators. [2,5,6,[8][9][10] Nine domains in OFS questionnaires, including satisfaction with facial appearance, ability to speak, ability to speak in public, leakage with liquids and solids, dryness of mouth, insertion of obturator, chewing or eating, social-family interactions, and overall OFS were scored. Numerical value from 0 to 100 for each response in the questionnaires was used.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of quality of life of maxillectomy patients after prosthetic obturator rehabilitation

Gupta¹,

Luthra²,

Gupta³

2016

IDJAR

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Background: Surgical resection of orofacial neoplasms has a profound impact on the quality of life (QOL) for patients and their families. Maxillectomy defects are most commonly rehabilitated using obturator prosthesis. The purpose of this study was to investigate and evaluate the QOL of patients with maxillofacial defects after maxillectomy and prosthodontic therapy with obturator prosthesis. QOL is an important consideration that infl uences the living conditions of society. Material and Methods: About 16 out of 20 patients were included in the study. The QOL of these patients who underwent maxillectomy and prosthodontic therapy was assessed by applying a standard questionnaire, Obturator Functional Scale. Results: QOL after prosthetic obturator rehabilitation was assessed to be 59.9 ± 3.7% on average. QOL of obturator patients was not signifi cantly related to age (P = 0.9), and gender (P = 0.320). The extent of therapy was correlated positively with QOL. A signifi cantly better average rating was found in patient who underwent surgery (64.75 ± 1.2), followed by patients with surgery + radiotherapy (60.95 ± 2.02) and surgery + radiotherapy + chemotherapy (55 ± 2.36) with a P = 0.006. QOL was also signifi cantly related to educational status (P = 0.001) in contrast to other parameters like age and gender. Conclusion: Orofacial rehabilitation of patients with maxillofacial defects using obturator prosthesis is an appropriate treatment modality. To improve the situation of patients before and after maxillectomy, suffi cient information about treatment, adequate psychological care, and speech therapy should be provided. The signifi cance of sound functioning of obturator prosthesis for QOL was intensifi ed by the fi ndings of this study and confi rmed the results of similar studies.

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Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation

Abstract: Obturator prosthesis improves oral function of patients after maxillary defects; the retention of the obturator prosthesis enhanced by the addition of attachments showed more benefits in oral function.

Cited by 50 publications

References 23 publications

Le carcinome muco-épidermoïde du palais : présentation de deux cas et revue de la littérature

Le carcinome muco-épidermoïde du palais : présentation de deux cas et revue de la littérature

Evaluation of quality of life of a patient with malignant tumor of the oropharyngeal area during antitumor treatment

Evaluation of quality of life of maxillectomy patients after prosthetic obturator rehabilitation

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