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Oral rehabilitation using pre-shaped Epitec fixation systems after extensive maxillary tumor surgery.

Identifieur interne : 002608 ( Ncbi/Curation ); précédent : 002607; suivant : 002609

Oral rehabilitation using pre-shaped Epitec fixation systems after extensive maxillary tumor surgery.

Auteurs : Yoshio Yamashita [Japon] ; Masahito Shigematsu ; Masaaki Goto

Source :

RBID : pubmed:19217262

Descripteurs français

English descriptors

Abstract

Reconstruction of maxillary defects represents a major challenge for reconstructive surgeons. The authors describe two cases of malignant tumor on the maxilla that were successfully repaired using the immediate installation of prostheses supported with an Epitec-system during maxilla reconstruction. The Epitec-plates provided a strong retention source for the maxillodental prosthesis. To reduce the operation time and improve conformity to the remaining bone shape, a craniofacial skull model was fabricated using stereo-lithographic techniques. After trimming the model to simulate segmental resection, Epitec-plates were shaped to match the defect. A united Epitec-plate was fixed to the remaining bone immediately and easily after tumor resection. An immediate maxillary prosthesis was placed and was functional at the end of surgery. The Epitec-system provides effective materials for immediate prosthesis of extensive maxillary defects.

DOI: 10.1016/j.ijom.2009.01.007
PubMed: 19217262

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pubmed:19217262

Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Saga Medical School, 5-1-1 Nabeshima, Saga 849-8501, Japan. yamashy2@cc.saga-u.ac.jp</nlm:affiliation>
<country xml:lang="fr">Japon</country>
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<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Carcinoma, Squamous Cell (complications)</term>
<term>Carcinoma, Squamous Cell (rehabilitation)</term>
<term>Carcinoma, Squamous Cell (surgery)</term>
<term>Dental Models</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Partial, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (etiology)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Neoplasms (complications)</term>
<term>Maxillary Neoplasms (rehabilitation)</term>
<term>Maxillary Neoplasms (surgery)</term>
<term>Middle Aged</term>
<term>Prosthesis Implantation (instrumentation)</term>
<term>Prosthesis Implantation (methods)</term>
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<term>Reconstructive Surgical Procedures (methods)</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Carcinome épidermoïde ()</term>
<term>Carcinome épidermoïde (rééducation et réadaptation)</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implantation de prothèse ()</term>
<term>Implantation de prothèse (instrumentation)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Modèles dentaires</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire partiellement édentée (étiologie)</term>
<term>Mâle</term>
<term>Plaques orthopédiques</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Procédures de chirurgie reconstructive (instrumentation)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle immédiate</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Maxillary Neoplasms</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Prosthesis Implantation</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Prosthesis Implantation</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Maxilla</term>
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<term>Mâchoire partiellement édentée</term>
<term>Tumeurs du maxillaire supérieur</term>
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<term>Carcinoma, Squamous Cell</term>
<term>Maxilla</term>
<term>Maxillary Neoplasms</term>
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<term>Implantation de prothèse</term>
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<term>Bone Plates</term>
<term>Dental Models</term>
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<term>Denture, Partial, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Carcinome épidermoïde</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implantation de prothèse</term>
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<div type="abstract" xml:lang="en">Reconstruction of maxillary defects represents a major challenge for reconstructive surgeons. The authors describe two cases of malignant tumor on the maxilla that were successfully repaired using the immediate installation of prostheses supported with an Epitec-system during maxilla reconstruction. The Epitec-plates provided a strong retention source for the maxillodental prosthesis. To reduce the operation time and improve conformity to the remaining bone shape, a craniofacial skull model was fabricated using stereo-lithographic techniques. After trimming the model to simulate segmental resection, Epitec-plates were shaped to match the defect. A united Epitec-plate was fixed to the remaining bone immediately and easily after tumor resection. An immediate maxillary prosthesis was placed and was functional at the end of surgery. The Epitec-system provides effective materials for immediate prosthesis of extensive maxillary defects.</div>
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