Lal Shantanu, Schwartz Aaron B, Gandhi Toral, Moss Melvin L
Division of Pediatric Dentistry, Columbia University College of Dental Medicine, New York, NY 10032, USA.
J Clin Pediatr Dent. 2007 Fall;32(1):5-8. doi: 10.17796/jcpd.32.1.wv77j52052147778.
The following case report describes the expanding role of pediatric dentists in treating children with craniofacial pathology. Retinoblastoma is the most common intraocular malignancy in childhood and is approximately the tenth most common pediatric cancer in the United States. Treatment consists of enucleation, or removal of the entire globe followed by placement of orbital implants. Un-restored anopthalmic sockets exhibit growth retardation and can lead to facial disfigurement. Maxillofacial prosthetic (MFP) rehabilitation can be especially challenging in younger, pre-cooperative or behaviorally compromised children and requires the skills and participation of a pediatric dental specialist as part of the MFP team. The following case report involving a 3 yr-old girl with retinoblastoma describes such challenges. The objective of the maxillofacial prosthetic team was to provide custom-built, acrylic, bilateral ocular prostheses in as comfortable and atraumatic manner as possible. The case was a success and underscores the value of a multidisciplinary dental approach for the treatment of children with very special needs.
以下病例报告描述了儿童牙医在治疗患有颅面疾病的儿童中不断扩大的作用。视网膜母细胞瘤是儿童期最常见的眼内恶性肿瘤，在美国大约是第十大常见的儿童癌症。治疗方法包括眼球摘除术，即摘除整个眼球，随后植入眼眶植入物。未修复的无眼球眼眶会出现生长发育迟缓，并可能导致面部畸形。颌面修复（MFP）在年龄较小、不配合或行为有问题的儿童中尤其具有挑战性，并且需要儿科牙科专家作为MFP团队的一员具备相关技能并参与其中。以下涉及一名患有视网膜母细胞瘤的3岁女孩的病例报告描述了此类挑战。颌面修复团队的目标是以尽可能舒适和无创的方式提供定制的丙烯酸双侧眼假体。该病例取得了成功，并强调了多学科牙科方法在治疗有特殊需求儿童中的价值。
