Arantes Diandra Costa, Rodrigues Ricardo Antonio Alpino, de Arruda José Alcides Almeida, de Magalhães Cláudia Silami, Mesquita Ricardo Alves, Goyatá Frederico Dos Reis, Moreira Allyson Nogueira, Moreno Amália
Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Contemp Clin Dent. 2020 Jul-Sep;11(3):294-297. doi: 10.4103/ccd.ccd_320_19. Epub 2020 Nov 26.
Maxillofacial prosthetic rehabilitation is almost always indicated after surgical treatment of affected individuals with oral cavity and pharynx cancers. Few articles have described in detail the technical sequence of maxillofacial prosthesis fabrication. The first case is a 56-year-old woman who was rehabilitated with pharyngeal obturator prosthesis after a partial maxillectomy, including soft palate, tonsil, oropharynx, and retromolar space regions. The second case is an 83-year-old man who was rehabilitated with hard palatal obturator prosthesis after a maxillectomy, including hard palate and nasal floor. In both cases, the patients complained of oronasal regurgitation and difficulty in chewing, swallowing, and speaking. A multi-professional approach including oral rehabilitation should be part of the treatment plan for individuals with oral and pharyngeal cancer after tumor resection.
口腔和咽癌患者接受手术治疗后，几乎总是需要进行颌面修复康复。很少有文章详细描述颌面修复体制作的技术流程。第一个病例是一名56岁女性，在进行部分上颌骨切除术后，包括软腭、扁桃体、口咽和磨牙后间隙区域，使用咽阻塞器修复体进行康复治疗。第二个病例是一名83岁男性，在进行上颌骨切除术后，包括硬腭和鼻底，使用硬腭阻塞器修复体进行康复治疗。在这两个病例中，患者均抱怨存在口鼻反流以及咀嚼、吞咽和说话困难。对于口腔和咽癌患者，在肿瘤切除后，包括口腔康复在内的多专业治疗方法应成为治疗计划的一部分。
