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Intra- and extraoral prostheses retained by zygoma implants following resection of the upper lip and nose.

Identifieur interne : 000106 ( Main/Exploration ); précédent : 000105; suivant : 000107

Intra- and extraoral prostheses retained by zygoma implants following resection of the upper lip and nose.

Auteurs : Letícia Machado Gonçalves [Brésil] ; Thais Marques Simek Vega Gonçalves ; Antônio Henrique Corrêa Rodrigues ; Marcos Dias Lanza ; Paulo Roberto Gomes Do Nascimento ; Francisco Mauro Da Silva Girundi

Source :

RBID : pubmed:24981971

Descripteurs français

English descriptors

Abstract

Upper lip cancers are infrequent lesions, being aggressive unless diagnosed and treated early. After the surgical resection, maxillofacial defects require special care in rehabilitation. This article describes the maxillofacial rehabilitation of an edentulous patient diagnosed with upper lip squamous cell carcinoma. The treatment consisted of a large amount of upper lip and nose tissue resection, followed by chemoradiotherapy. After the first surgical healing, zygoma implants were inserted in a two-step procedure. The maxillary and nasal prostheses were installed and fixed by a titanium framework. After 6 years follow-up, no recurrences were observed, and the patient did not develop metastases. Tissues around implants were in good health, and the prostheses remained well-fitted. The use of implant-retained prostheses improved the quality of life, and the patient was extremely satisfied with the final result. The implant-retained prostheses are well accepted by the patient, improving comfort and safety during function while recovering her esthetic apperance.

DOI: 10.1111/jopr.12178
PubMed: 24981971


Affiliations:


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Le document en format XML

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<name sortKey="Goncalves, Leticia Machado" sort="Goncalves, Leticia Machado" uniqKey="Goncalves L" first="Letícia Machado" last="Gonçalves">Letícia Machado Gonçalves</name>
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<nlm:affiliation>Graduate and Post Graduate Program in Dentistry, Ceuma University-UniCEUMA, São Luís, Maranhão, Brazil.</nlm:affiliation>
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<name sortKey="Rodrigues, Antonio Henrique Correa" sort="Rodrigues, Antonio Henrique Correa" uniqKey="Rodrigues A" first="Antônio Henrique Corrêa" last="Rodrigues">Antônio Henrique Corrêa Rodrigues</name>
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<name sortKey="Lanza, Marcos Dias" sort="Lanza, Marcos Dias" uniqKey="Lanza M" first="Marcos Dias" last="Lanza">Marcos Dias Lanza</name>
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<name sortKey="Do Nascimento, Paulo Roberto Gomes" sort="Do Nascimento, Paulo Roberto Gomes" uniqKey="Do Nascimento P" first="Paulo Roberto Gomes" last="Do Nascimento">Paulo Roberto Gomes Do Nascimento</name>
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<name sortKey="Girundi, Francisco Mauro Da Silva" sort="Girundi, Francisco Mauro Da Silva" uniqKey="Girundi F" first="Francisco Mauro Da Silva" last="Girundi">Francisco Mauro Da Silva Girundi</name>
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<nlm:affiliation>Graduate and Post Graduate Program in Dentistry, Ceuma University-UniCEUMA, São Luís, Maranhão, Brazil.</nlm:affiliation>
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<name sortKey="Rodrigues, Antonio Henrique Correa" sort="Rodrigues, Antonio Henrique Correa" uniqKey="Rodrigues A" first="Antônio Henrique Corrêa" last="Rodrigues">Antônio Henrique Corrêa Rodrigues</name>
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<name sortKey="Lanza, Marcos Dias" sort="Lanza, Marcos Dias" uniqKey="Lanza M" first="Marcos Dias" last="Lanza">Marcos Dias Lanza</name>
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<name sortKey="Do Nascimento, Paulo Roberto Gomes" sort="Do Nascimento, Paulo Roberto Gomes" uniqKey="Do Nascimento P" first="Paulo Roberto Gomes" last="Do Nascimento">Paulo Roberto Gomes Do Nascimento</name>
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<name sortKey="Girundi, Francisco Mauro Da Silva" sort="Girundi, Francisco Mauro Da Silva" uniqKey="Girundi F" first="Francisco Mauro Da Silva" last="Girundi">Francisco Mauro Da Silva Girundi</name>
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<title level="j">Journal of prosthodontics : official journal of the American College of Prosthodontists</title>
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<term>Lip (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Nose (surgery)</term>
<term>Zygoma (surgery)</term>
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<term>Lèvre ()</term>
<term>Maxillaire ()</term>
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<term>Os zygomatique ()</term>
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<term>Lip</term>
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<term>Humains</term>
<term>Implants dentaires</term>
<term>Lèvre</term>
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<div type="abstract" xml:lang="en">Upper lip cancers are infrequent lesions, being aggressive unless diagnosed and treated early. After the surgical resection, maxillofacial defects require special care in rehabilitation. This article describes the maxillofacial rehabilitation of an edentulous patient diagnosed with upper lip squamous cell carcinoma. The treatment consisted of a large amount of upper lip and nose tissue resection, followed by chemoradiotherapy. After the first surgical healing, zygoma implants were inserted in a two-step procedure. The maxillary and nasal prostheses were installed and fixed by a titanium framework. After 6 years follow-up, no recurrences were observed, and the patient did not develop metastases. Tissues around implants were in good health, and the prostheses remained well-fitted. The use of implant-retained prostheses improved the quality of life, and the patient was extremely satisfied with the final result. The implant-retained prostheses are well accepted by the patient, improving comfort and safety during function while recovering her esthetic apperance.</div>
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