Maxillofacial Rehabilitation of a Microstomic Patient After Resection of Nose, Lip, and Maxilla
Identifieur interne : 005531 ( Main/Exploration ); précédent : 005530; suivant : 005532Maxillofacial Rehabilitation of a Microstomic Patient After Resection of Nose, Lip, and Maxilla
Auteurs : Avinash S. Bidra [États-Unis] ; Patricia C. Montgomery [États-Unis] ; Rhonda F. Jacob [États-Unis]Source :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2010.
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Abstract
Few published reports have addressed the issues related to upper lip reconstruction. The present clinical report describes the maxillofacial rehabilitation of an edentulous patient who had been diagnosed with squamous cell carcinoma of the nasal septum and contiguous structures. The patient underwent total rhinectomy, anterior maxillectomy, and maxillary lip resection. Her maxillary lip was reconstructed with a bilateral cheek advancement flap, which allowed primary closure of the lip and aided in maintaining function of the orbicularis oris muscle. Microstomia was anticipated and was a consequence of this procedure. During primary resection, and before chemoradiotherapy, dental implants were successfully placed in the maxilla. These implants helped to retain a maxillary obturator prosthesis, which, in turn, helped to retain a silicone nasal prosthesis that restored the nasal defect. An intranasal acrylic resin framework with magnets aided in connecting the extraoral prosthesis with the intraoral prosthesis. The surgical and prosthodontic advantages of a cheek advancement flap and the treatment challenges in a microstomic patient are discussed.
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Montgomery</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Section of Maxillofacial Prosthodontics and Dental Oncology, University of Texas M.D. Anderson Cancer Center</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Jacob, Rhonda F" sort="Jacob, Rhonda F" uniqKey="Jacob R" first="Rhonda F." last="Jacob">Rhonda F. Jacob</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Section of Maxillofacial Prosthodontics and Dental Oncology, University of Texas M.D. Anderson Cancer Center</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">10-0473995</idno><date when="2010">2010</date><idno type="stanalyst">PASCAL 10-0473995 INIST</idno><idno type="RBID">Pascal:10-0473995</idno><idno type="wicri:Area/PascalFrancis/Corpus">000180</idno><idno type="wicri:Area/PascalFrancis/Curation">000521</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000193</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000193</idno><idno type="wicri:doubleKey">0278-2391:2010:Bidra A:maxillofacial:rehabilitation:of</idno><idno type="wicri:Area/Main/Merge">005576</idno><idno type="wicri:Area/Main/Curation">005531</idno><idno type="wicri:Area/Main/Exploration">005531</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Maxillofacial Rehabilitation of a Microstomic Patient After Resection of Nose, Lip, and Maxilla</title><author><name sortKey="Bidra, Avinash S" sort="Bidra, Avinash S" uniqKey="Bidra A" first="Avinash S." last="Bidra">Avinash S. Bidra</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Prosthodontics, University of Texas Health Science Center</s1><s2>San Antonio, TX</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Montgomery, Patricia C" sort="Montgomery, Patricia C" uniqKey="Montgomery P" first="Patricia C." last="Montgomery">Patricia C. Montgomery</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Section of Maxillofacial Prosthodontics and Dental Oncology, University of Texas M.D. Anderson Cancer Center</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Jacob, Rhonda F" sort="Jacob, Rhonda F" uniqKey="Jacob R" first="Rhonda F." last="Jacob">Rhonda F. Jacob</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Section of Maxillofacial Prosthodontics and Dental Oncology, University of Texas M.D. Anderson Cancer Center</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Human</term><term>Lip</term><term>Maxillary</term><term>Maxillofacial</term><term>Nose</term><term>Reeducation</term><term>Rehabilitation(human)</term><term>Stomatology</term><term>Surgery</term><term>Surgical resection</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Résection chirurgicale</term><term>Chirurgie</term><term>Maxillofacial</term><term>Réadaptation</term><term>Rééducation</term><term>Homme</term><term>Nez</term><term>Lèvre</term><term>Maxillaire</term><term>Stomatologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Few published reports have addressed the issues related to upper lip reconstruction. The present clinical report describes the maxillofacial rehabilitation of an edentulous patient who had been diagnosed with squamous cell carcinoma of the nasal septum and contiguous structures. The patient underwent total rhinectomy, anterior maxillectomy, and maxillary lip resection. Her maxillary lip was reconstructed with a bilateral cheek advancement flap, which allowed primary closure of the lip and aided in maintaining function of the orbicularis oris muscle. Microstomia was anticipated and was a consequence of this procedure. During primary resection, and before chemoradiotherapy, dental implants were successfully placed in the maxilla. These implants helped to retain a maxillary obturator prosthesis, which, in turn, helped to retain a silicone nasal prosthesis that restored the nasal defect. An intranasal acrylic resin framework with magnets aided in connecting the extraoral prosthesis with the intraoral prosthesis. The surgical and prosthodontic advantages of a cheek advancement flap and the treatment challenges in a microstomic patient are discussed.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Bidra, Avinash S" sort="Bidra, Avinash S" uniqKey="Bidra A" first="Avinash S." last="Bidra">Avinash S. Bidra</name></region><name sortKey="Jacob, Rhonda F" sort="Jacob, Rhonda F" uniqKey="Jacob R" first="Rhonda F." last="Jacob">Rhonda F. Jacob</name><name sortKey="Montgomery, Patricia C" sort="Montgomery, Patricia C" uniqKey="Montgomery P" first="Patricia C." last="Montgomery">Patricia C. Montgomery</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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