无牙颌患者半侧上颌骨切除术后肌皮瓣修复后的口腔修复重建：临床报告
Prosthodontic rehabilitation after myofascial flap surgery of hemimaxillectomy defects in the edentulous patient: a clinical report.
作者信息
Lee Joon-Seok, Lim Young-Jun
机构信息
From the *Department of Prosthodontics and Dental Research Institute, School of Dentistry, Dankook University, Cheonan; and †Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
出版信息
J Craniofac Surg. 2014;25(2):e96-8. doi: 10.1097/SCS.0b013e3182a2b7a5.
OBJECTIVE
The aims of this clinical report were to present and discuss the clinical procedure and the treatment considerations of prosthetic rehabilitation after myofascial flap surgery.
DESIGN
A 78-year-old edentulous woman with a squamous cell carcinoma underwent hemimaxillectomy. A temporalis myofascial flap surgery combined with implant-supported prosthesis is one successful approach to the restoration of oral function after hemimaxillectomy.
CONCLUSIONS
Although the bulky and mobile nature of a temporalis myofascial flap prevented the retention of a tissue-borne denture, an appropriate impression technique and the fabrication of implant-supported prosthesis using an implant attachment system enhanced the overall satisfaction by the patient.
目的
本临床报告的目的是介绍和讨论肌筋膜瓣手术后假体修复的临床操作及治疗注意事项。
设计
一名78岁的无牙颌女性患有鳞状细胞癌，接受了半侧上颌骨切除术。颞肌筋膜瓣手术联合种植体支持的假体是半侧上颌骨切除术后恢复口腔功能的一种成功方法。
结论
尽管颞肌筋膜瓣体积大且可移动，妨碍了组织支持式义齿的固位，但采用合适的印模技术以及使用种植体附着系统制作种植体支持的假体提高了患者的总体满意度。
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