Rehabilitation of a patient after a total maxillectomy with a 2-piece magnetically retained obturator: A clinical report

Kapetanakos, Melani; Golden, Marjorie; Huryn, Joseph M.

doi:10.1016/j.prosdent.2019.05.005

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…The restoration of radical facial defects is a challenge for specialists in oral and maxillofacial prosthetics. In these patients, a prosthesis composed of two distinct parts should be considered, as it is an even more significant challenge to achieve prosthesis retention ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

Intraoral and facial rehabilitation retained with zygomatic implants and magnets after complete resection of the maxilla, lip and nose: A clinical report

Alfenas¹,

Silva²,

Oliveira³

et al. 2023

J Clin Exp Dent

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Prosthetic rehabilitation is an option available for patients with extensive maxillofacial defects with the ability to restore esthetics and function. The surgical procedure can result in anatomical and functional sequelae leading to functional, psychological and aesthetic disorders. This clinical case report describes the unique and highly-specialized fabrication method of an oral and facial prosthesis for a patient with a near total maxillectomy, excision of upper lip, rhinectomy and radiotherapy for treatment of an extensive malignant neoplasm. Four carefully placed zygomatic implants were used to retain an oral obturator and an external mid-facial prosthesis. A well-functioning maxillofacial prosthesis is essential for improving quality of life, psychological adjustment to cancer and cancer related disabilities, and a positive coping response. The prosthetic rehabilitation allowed the patient’s reintegration into society accompanying the satisfactory restoration of aesthetics, phonetics, mastication, and deglutition. Key words: Maxillectomy, rhinectomy, maxillofacial prosthesis, zygomatic implants, head and neck neoplasm.

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Section: Discussionmentioning

confidence: 99%

Intraoral and facial rehabilitation retained with zygomatic implants and magnets after complete resection of the maxilla, lip and nose: A clinical report

Alfenas¹,

Silva²,

Oliveira³

et al. 2023

J Clin Exp Dent

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show abstract

“…A previous case report presented a multimodal treatment in primary hepatic CS (HCS) using surgery and chemoradiotherapy based on doxorubicin and ifosfamide, but the patient did not tolerate the procedure [ 15 ]. Studies have shown significant improvement in masticatory function and quality of life (QOL) in patients with total maxillectomy who underwent prosthesis rehabilitation [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Primary maxillary sinus carcinosarcoma with multidisciplinary management: a case report with 4 years follow-up and literature review

Wang

Xiufa

et al. 2023

BMC Oral Health

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Background Primary maxillary sinus carcinosarcoma (CS) is an extremely rare malignant tumor characterized by biphasic histologic components, lack of standardized treatment, high recurrence rate, and poor prognosis. This paper presents a case of primary maxillary sinus CS and its treatment. Case presentation A 39-year-old female patient complained of right facial pain and maxillary teeth numbness on March 21, 2018. Computed tomography examination revealed a malignant mass with osteolytic destruction. Preoperative biopsy suggested sarcomatoid carcinoma or CS. A total right maxillectomy under general anesthesia was performed on April 12, 2018. The final staging was T3N0M0 (ACJJ 2019). Postoperative radiotherapy and chemotherapy were performed. On May 26, 2018, the patient received the first cycle of doxorubicin plus ifosfamide. Two days before radiotherapy, the patient received an intra-oral prosthesis. From June 20, 2018, to August 22, 2018, the patient received concurrent chemoradiotherapy: radiotherapy (60 Gy in 30 fractions) and the second cycle of doxorubicin. Then, the patient received four cycles of doxorubicin plus ifosfamide. The patient was followed for 39 months with no evidence of disease. Conclusion Using multidisciplinary therapy, clinical-stage T3N0M0 (ACJJ 2019) maxillary sinus CS may achieve a good prognosis.

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An implant-supported prosthetic rehabilitation of a patient with a bilateral subtotal maxillectomy defect secondary to rhino-orbital-cerebral mucormycosis: A clinical report of a graftless approach

Gaur

Patel²,

Pałka³

2022

The Journal of Prosthetic Dentistry

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Rehabilitation of a patient after a total maxillectomy with a 2-piece magnetically retained obturator: A clinical report

Cited by 7 publications

References 11 publications

Intraoral and facial rehabilitation retained with zygomatic implants and magnets after complete resection of the maxilla, lip and nose: A clinical report

Intraoral and facial rehabilitation retained with zygomatic implants and magnets after complete resection of the maxilla, lip and nose: A clinical report

Primary maxillary sinus carcinosarcoma with multidisciplinary management: a case report with 4 years follow-up and literature review

An implant-supported prosthetic rehabilitation of a patient with a bilateral subtotal maxillectomy defect secondary to rhino-orbital-cerebral mucormycosis: A clinical report of a graftless approach

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