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使用临时闭塞器弥合即刻手术与确定性口腔修复之间的差距:病例报告

Bridging the Gap Between Immediate Surgical and Definitive Oral Rehabilitation With Interim Obturators: A Case Report.

作者信息

Sampat Saumil C, Raje Sohan S, Nadgere Jyoti B, Iyer Janani, Terni Prachiti M

机构信息

Department of Prosthodontics, Mahatma Gandhi Mission's Dental College & Hospital, Navi Mumbai, IND.

出版信息

Cureus. 2025 Feb 16;17(2):e79103. doi: 10.7759/cureus.79103. eCollection 2025 Feb.

Abstract

Maxillectomy can result in various functional deficits for the patient, such as hypernasal speech, difficulty in deglutition, fistula formation, and loss of support for cheeks and lips. Surgical reconstruction might be the ideal treatment for rehabilitation of maxillectomy defects, but it is seldom done, particularly if the defect is significant and the tissues are exposed to radiotherapy. Since a definite obturator is deferred till complete healing of the surgical site has occurred, an interim obturator helps in achieving normalcy. Apart from restoring the functions of speech and deglutition, the interim obturator has a great psychological benefit to the patient in regaining social acceptance. In this case report, we describe how our patients benefitted from an interdisciplinary team approach with the help of interim obturators till the surgical site attained stability for the fabrication of definite obturators, thereby improving their overall quality of life.

摘要

上颌骨切除术会给患者带来各种功能缺陷,如鼻音过重、吞咽困难、瘘管形成以及面颊和唇部支撑力丧失。手术重建可能是修复上颌骨切除术后缺损的理想治疗方法,但很少实施,尤其是当缺损严重且组织接受过放射治疗时。由于定制修复体要等到手术部位完全愈合后才能制作,临时修复体有助于患者恢复正常生活。除了恢复言语和吞咽功能外,临时修复体对患者重新获得社会认可也有很大的心理益处。在本病例报告中,我们描述了患者如何在临时修复体的帮助下,受益于多学科团队的治疗方法,直到手术部位稳定下来以便制作定制修复体,从而改善了他们的整体生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ed0/11918993/5c8bb00dc412/cureus-0017-00000079103-i01.jpg

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