Prosthetic Management of Patients With Oro-Maxillo-Facial Defects: A Long-Term Follow-Up Retrospective Study

Abstract

SUMMARYIntroduction. The aim of this study is to determine the outcome of maxillofacial prosthetic rehabilitation after oncological resections, including both intra-and extra-oral prosthetic devices. Methods. In this study were included 72 patients, who have undergone an intra or extra-oral maxillofacial prosthetic rehabilitation after an oncologic resection. Tumors on the head and neck were analyzed and the defects of these resections have been divided in two different groups: intra and extra-oral defects. Results. 72 participants were treated with maxillofacial prosthesis, 3 of which with post-traumatic wounds and 69 with resections of tumors on the head and neck. Of the 69 treated for neoplastic disease, 43 received an intraoral prosthesis (palatal obturator) and 29 with an extraoral epithesis (18 with nasal prostheses, 8 with orbital implants and 3 with ear implants).The group included patients with different types of tumors. All the patients were evaluated in terms of aesthetic appearance after the construction of the prostheses and the results were satisfactory. Conclusion. Within the limitations of this study, after the use of maxillofacial protheses patients feel more confident and self-assured. Maxillofacial protheses are a good solution in order to improve the life's quality in patients with tumors resections: prostheses are easy to handle and provide a satisfying social interaction for the patients.

Oral health‐related quality of life, oral aesthetics and oral function in head and neck cancer patients after oral rehabilitation

“…Currently, the literature of oral rehabilitation in HNC patients is mainly concerning the impact and side effects from radiation therapy and the usefulness of different rehabilitation methods, especially implants . Investigations in the field have shown that maxillofacial and oral rehabilitation are important ways to improve oral aesthetics, oral function and QoL after HNC treatment . However, data seem to be poor and conflicting in the field of oral rehabilitation of HNC patients, and especially knowledge of the difference in OHRQoL, aesthetics and functional outcome between HNC patients and non‐HNC patients is scarce, and more investigation is needed to make stronger conclusions.…”

Introductory Chapter: Past, Present, and Future of Prostheses and Rehabilitation

“…Thus, it is a multidisciplinary branch which focuses on improving quality of life by preserving residual structures, restoring oral functions, and improving esthetic appearances [38]. The need for maxillofacial prostheses is increasing in recent years with the 6% increased prevalence of oral cancer, with the incidence being more in males in the ratio of 2:1 [39]. Maxillofacial defects can be classified as either intraoral or extraoral.…”

“…Extraoral defects include any other part of the head and neck. This defect inclines more towards trauma and tumor resurrection [39]. The obturators are prosthesis used to close palatal defects after maxillectomy, to restore masticatory function and to improve speech.…”

Análise dos tipos de gessos odontologicos utilizados durante a confecção de próteses bucomaxilofacial

“…A reparação da perda facial, além de restaurar a aparência, protege os tecidos expostos, e tem a finalidade de promover a reintegração ao convívio social do individuo, reduzindo o sentimento de ansiedade possibilitando o surgimento moral do paciente. O tratamento reabilitador estende-se tanto às perdas intraorais, das fendas labiopalatais quanto às perdas extraorais (4). Todas as etapas e dimensões da reconstrução maxilofacial exigem uma elevada precisão e habilidade do profissional para alcançar um excelente resultado na reprodução anatômica e funcional da área afetada dos pacientes.…”