Nair Anoop, Regish K M, Shah Farhan K, Prithviraj D R
MDS, Senior Lecturer, Dept. of Prosthodontics. Govt. Dental College and Research Institute, Bangalore. Victoria Hospital Campus, Fort, Bangalore, India.
BDS (MDS), Post Graduate, Dept. of Prosthodontics. Govt. Dental College and Research Institute, Bangalore. Victoria Hospital Campus, Fort, Bangalore, India.
J Clin Exp Dent. 2012 Jul 1;4(3):e186-8. doi: 10.4317/jced.50715. eCollection 2012 Jul.
Radical maxillectomy frequently leads to extended defects in hard and soft tissues that result in a connection between the oral cavities and orbit. If the defect cannot be surgically reconstructed, a combination prosthesis may be necessary to remedy dysfunction in patient function, comfort, esthetics. For minor defects, enlargement of the base of the intra oral prosthesis is generally sufficient. Resections that affect more than one third of the maxilla usually require an intra oral and an extra oral prosthesis that could be assembled and retained in the patient. This clinical report describes a technique of prosthetic rehabilitation of midfacial defect with a silicone orbital prosthesis and intra oral obturator that are retained by magnets. Key words:Combination Prosthesis, Silicone Prosthesis, Magnets, obturators.
根治性上颌骨切除术常常导致软硬组织的广泛性缺损,从而致使口腔与眼眶相通。如果缺损无法通过手术重建,可能需要采用组合式修复体来改善患者功能、舒适度和美观方面的功能障碍。对于较小的缺损,通常扩大口腔内修复体的基托就足够了。累及超过三分之一上颌骨的切除术通常需要一个口腔内修复体和一个口腔外修复体,它们可以组装并固定在患者口中。本临床报告描述了一种使用硅酮眼眶修复体和通过磁体固定的口腔内封闭器对颌面中部缺损进行修复康复的技术。关键词:组合式修复体、硅酮修复体、磁体、封闭器