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色素性干皮病患者的边缘下颌骨切除术和口腔修复。

Marginal Mandibulectomy and Oral Rehabilitation of Xeroderma Pigmentosum Patient.

机构信息

Department of Oral Surgery, Pathology, and Clinical Dentistry.

Private Dental Clinic, Belo Horizonte, Brazil.

出版信息

J Craniofac Surg. 2023 Jun 1;34(4):e404-e406. doi: 10.1097/SCS.0000000000009329. Epub 2023 Apr 14.

Abstract

Xeroderma pigmentosum (XP) may cause tissue deformation in patients who have undergone oral cancer surgery requiring resection of any part of the mandible. Oral rehabilitation is a pivotal factor in the restoration of function and esthetics. The aim of this study was to report a clinical case of successful prosthetic rehabilitation of a 57-year-old woman who presented with marginal mandibulectomy and a significant reduction in maximal mouth opening after treatment for XP. With her reduced opening and considerable loss of structure and tissue, she had difficulty speaking, swallowing, and altered esthetics. The oral rehabilitation was performed with complete maxilla denture and mandible overdenture retained by 2 implants. This case demonstrates that the rehabilitation with mandible overdentures and complete maxilla dentures provide function and esthetic improvement in the mutilated area for XP patients with marginal mandibulectomies.

摘要

着色性干皮病(XP)可能导致接受口腔癌手术的患者发生组织变形,这些手术需要切除下颌骨的任何部分。口腔康复是恢复功能和美观的关键因素。本研究旨在报告一例成功进行义齿修复的临床病例,该病例为 57 岁女性,患有 XP,经治疗后行边缘下颌骨切除术,最大张口度显著减小。由于张口受限以及结构和组织大量丧失,患者出现言语、吞咽困难和容貌改变。口腔康复采用上颌全口义齿和下颌覆盖义齿修复,通过 2 个种植体固位。该病例表明,对于接受边缘下颌骨切除术的 XP 患者,下颌覆盖义齿和上颌全口义齿的修复可改善畸形区域的功能和美观。

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