Bansal Kirti, Rawat Paras, Pruthi Gunjan, Jain Veena
Department of Prosthodontics, CDER, AIIMS, New Delhi, India.
Dental Surgeon, District hospital, Rajgarh, Madhya Pradesh, India.
J Indian Prosthodont Soc. 2018 Oct-Dec;18(4):370-376. doi: 10.4103/jips.jips_10_18.
Debridement of affected parts in patients with non-Hodgkin's lymphoma leads to large mid facial defects leading to poor quality of life due to cosmetic disfigurement and various functional comorbidities. Therefore, a surgeon should refer the patients to a prosthodontist for replacement of lost tissues to improve their function and esthetics. Two cases have been presented here with a history of non-Hodgkin's lymphoma having large, continuous defects involving nose, cheeks, and maxilla. Retaining large facial prosthesis and intraoral obturator was a challenge as supporting hard and soft tissues were less. Two-piece lightweight prostheses were fabricated and retained with the use of very economical titch buttons used (used in clothes) in case 1 due to financial constraints and slightly expensive iron boron neodymium magnets in case 2. Functional and esthetic rehabilitation was successfully achieved with intraoral and facial prostheses attached to each other.
非霍奇金淋巴瘤患者的患部清创会导致面部中部出现大面积缺损，由于容貌毁损和各种功能合并症，会导致生活质量下降。因此，外科医生应将患者转介给口腔修复医生，以替换缺失的组织，改善其功能和美观。本文介绍了两例非霍奇金淋巴瘤患者，他们存在涉及鼻子、脸颊和上颌骨的大面积连续性缺损。由于支持性软硬组织较少，保留大型面部假体和口腔内阻塞器是一项挑战。由于经济限制，在病例1中制作了两件式轻质假体，并使用了非常经济的（用于衣服的）按扣进行固定；在病例2中则使用了稍贵的钕铁硼磁铁。通过将口腔内和面部假体相互连接，成功实现了功能和美观的康复。
