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在一家住院式医院就诊的患者中上颌骨切除术缺损的患病率:一项前瞻性单机构研究。

Prevalence of maxillectomy defects among patients visiting in an institutionalized hospital setting: A prospective, single-institute study.

作者信息

Singh Mayank, Kapoor Saumya, Kumar Lakshya, Pal U S, Singh Anshulika, Anwar Mohd

机构信息

Department of Prosthodontics, Crown and Bridge, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2020 Jul-Dec;11(2):231-235. doi: 10.4103/njms.NJMS_61_20. Epub 2020 Dec 16.

DOI:10.4103/njms.NJMS_61_20
PMID:33897186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8051669/
Abstract

INTRODUCTION

The rehabilitation of a patient undergone maxillectomy requires a prosthesis that provides with the optimum appearance and functional results. Scarce literature has been published regarding the prevalence of maxillary defects related to palatal obturator prosthesis. This study evaluates the incidence of the maxillectomy defects among different age groups, gender, side involved, and etiology.

MATERIALS AND METHODS

This is a prospective study of maxillectomy defects cases which reported and were treated in the department over a period of 2 years (2015-2017). Information regarding general identification, gender, and age at which the patient was operated for surgical resection of the maxilla or diagnosis of the tumor, affected side and etiology, and the time lag between surgical resection and rehabilitation was recorded from the clinical records of the patients.

RESULTS

A total of 30 patients reported to the department in the 2 years. However, the detailed data were available for only 22 patients, and these patients were treated in the department. Information regarding general identification, gender, and age at which the patient was operated for surgical resection of maxilla or diagnosis of the tumor, affected side and etiology, and the time lag between surgical resection and rehabilitation was recorded from the clinical records of the patients.

CONCLUSION

The finding of the study revealed a predominance of the males being more affected, with the predominance of the left side involvement over the right side, with most frequently involved the age group of 21-40 years, and the etiology revealed the predominance of carcinoma of the maxilla for its resection.

摘要

引言

接受上颌骨切除术的患者康复需要一个能提供最佳外观和功能效果的假体。关于与腭托假体相关的上颌骨缺损患病率的文献较少。本研究评估了不同年龄组、性别、受累侧及病因的上颌骨切除术缺损的发生率。

材料与方法

这是一项对2年(2015 - 2017年)期间在该科室报告并接受治疗的上颌骨切除术缺损病例的前瞻性研究。从患者的临床记录中记录有关患者的一般识别信息、性别、上颌骨手术切除或肿瘤诊断时的年龄、受累侧及病因,以及手术切除与康复之间的时间间隔。

结果

在这2年中共有30例患者到该科室就诊。然而,仅有22例患者有详细数据,且这些患者在该科室接受了治疗。从患者的临床记录中记录有关患者的一般识别信息、性别、上颌骨手术切除或肿瘤诊断时的年龄、受累侧及病因,以及手术切除与康复之间的时间间隔。

结论

该研究结果显示男性受累更为普遍,左侧受累多于右侧,最常受累的年龄组为21 - 40岁,病因显示上颌骨癌切除术最为常见。

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本文引用的文献

1
Maxillectomy and Quality of Life: Experience from a Nigerian Tertiary Institution.上颌骨切除术与生活质量:来自尼日利亚一所高等院校的经验
Niger J Surg. 2018 Jul-Dec;24(2):125-130. doi: 10.4103/njs.NJS_6_18.
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The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions.上颌骨根治性切除术后即刻闭孔重建对语音及其他功能的影响。
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Quality of life and problems associated with obturators of patients with maxillectomies.上颌骨切除术患者的赝复体的生活质量和相关问题。
Head Face Med. 2018 Jan 5;14(1):2. doi: 10.1186/s13005-017-0160-2.
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The Glossary of Prosthodontic Terms: Ninth Edition.《口腔修复学术语词典:第九版》
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Prosthetic rehabilitation of patients with maxillary defects in a nigerian tertiary hospital.尼日利亚一家三级医院上颌骨缺损患者的修复康复治疗
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Can Fam Physician. 2009 Mar;55(3):262-4.
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Speech evaluation with and without palatal obturator in patients submitted to maxillectomy.对上颌骨切除患者使用和不使用腭阻塞器的语音评估。
J Appl Oral Sci. 2006 Dec;14(6):421-6. doi: 10.1590/s1678-77572006000600007.
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Risk factors for squamous cell carcinoma of the oral cavity in young people--a comprehensive literature review.年轻人口腔鳞状细胞癌的危险因素——一项综合文献综述
Oral Oncol. 2001 Jul;37(5):401-18. doi: 10.1016/s1368-8375(00)00135-4.
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