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用于半侧上颌骨切除患者的闭孔假体。

Obturator prosthesis for hemimaxillectomy patients.

作者信息

Singh Mayank, Bhushan Akshay, Kumar Narendra, Chand Sharad

机构信息

Department of Prosthodontics, Faculty of Dental Sciences, KGMU, Lucknow, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2013 Jan;4(1):117-20. doi: 10.4103/0975-5950.117814.

Abstract

Rehabilitation of hemimaxillectomy patients can be challenging. The most common problem with prosthetic treatment in such patients is in getting adequate retention, stability, and support. The size and location of the defect usually influences the amount of impairment and difficulty in prosthetic rehabilitation. The obturator prosthesis is commonly used as an effective means for rehabilitating hemimaxillectomy cases. In cases of large maxillary defects, movement of the obturator prosthesis is inevitable and requires a form of indirect retention to limit the rotation of the prosthesis. The goal of prosthodontics is rehabilitation of missing oral and extraoral structures along with restoration of the normal functions of mastication, speech, swallowing, appearance, and so on. Malignancies are common in the oral region, which are treated through surgical intervention. Surgical intervention creates communication between the oral cavity, nasal cavity, and maxillary sinus. In such cases, it is very difficult for the patient to perform various normal functions like mastication, swallowing, speaking, and so on. Prosthodontic rehabilitation with obturator prosthesis restores the missing structures and acts as a barrier between the communication among the various cavities.

摘要

半侧上颌骨切除患者的康复治疗具有挑战性。此类患者进行修复治疗时最常见的问题是获得足够的固位、稳定和支持。缺损的大小和位置通常会影响修复康复的受损程度和难度。阻塞器假体通常作为修复半侧上颌骨切除病例的有效手段。在上颌骨大缺损的病例中,阻塞器假体的移动不可避免,需要某种形式的间接固位来限制假体的旋转。口腔修复学的目标是修复缺失的口腔和口外结构,同时恢复咀嚼、言语、吞咽、外观等正常功能。口腔区域恶性肿瘤很常见,需通过手术干预进行治疗。手术干预会在口腔、鼻腔和上颌窦之间形成通道。在这种情况下,患者很难进行咀嚼、吞咽、说话等各种正常功能。使用阻塞器假体进行口腔修复可恢复缺失结构,并在各个腔隙之间的通道起到屏障作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab7b/3800374/9cab6f2d4ce7/NJMS-4-117-g001.jpg

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