Cao Yingguang, Sun Guohong, Weischer Thomas
Department of prosthodontics, Tongji hospital, Tongji Medical College, Huazhuong University of Science and Technology, Wuhan 430030, China.
J Huazhong Univ Sci Technolog Med Sci. 2004;24(5):510-3. doi: 10.1007/BF02831123.
In order to investigate the maxillary preprosthetic situation after oral tumor treatment and/or reconstructive surgery, based on the review of case history and the clinical records 47 cases were analyzed after oral tumor treatment and/or reconstruction, including residual maxillary bone, intermaxillary relationships, defection of maxilla and oral situation after radiation therapy. The results showed that the residual maxillary bone was useful for implantation in the front alveolar bone and zygoma area. The maxillary preprosthetic situation after tumor treatment and/or reconstructive surgery was difficult due to maxillary resection, intermaxillary relationships, unsuitable soft and hard tissue transfer and the irradiation. It is suggested that the maxillary preprosthetic situation after oral tumor treatment is getting worse not only due to maxillary resection and/or irradiation, but surprisingly also due to mandibular resection and/or irradiation.
为了研究口腔肿瘤治疗和/或重建手术后的上颌修复前情况,基于病历回顾和临床记录,对47例口腔肿瘤治疗和/或重建后的病例进行了分析,包括上颌骨残余情况、颌间关系、上颌骨缺损以及放疗后的口腔情况。结果显示,上颌骨残余部分对前牙槽骨和颧骨区域的种植有用。由于上颌骨切除、颌间关系、不合适的软硬组织转移以及放疗,肿瘤治疗和/或重建手术后的上颌修复前情况较为困难。研究表明,口腔肿瘤治疗后的上颌修复前情况恶化不仅是由于上颌骨切除和/或放疗,令人惊讶的是,还由于下颌骨切除和/或放疗。