Immediate surgical and post-surgical prosthetic rehabilitation in maxillofacial region surgery
Küçük Resim Yok
Tarih
1996
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kugler Publications Bv
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
In this study, the prosthetic rehabilitation of patients with malignant tumors in the maxillofacial region, especially at an ethmoidomaxillary location, during the operative and postoperative period has been reviewed. The experience with and results of 127 patients operated on during the last 15 years are reported. Eighty-one patients were male and 46 female, with a mean age of 42 years. The surgical obturators which are inserted towards the end of the operation before wound closure are composed of suprastructure and infrastructure. The suprastructure is prepared with self-or heat-curing clear acrylic and the infrastructure with silicone impression material or silicon putty (Optosil). Surgical obturators are usually replaced with the treatment (interim) obturators on the seventh postoperative day. The suprastructure of these interim obturators is constructed of hollow bulbs and relined with a resilient material. They can easily be removed, cleaned and replaced by the patient. Three months after the operation, post-surgical (definitive) obturators are applied. In cases in which orbital exenteration was performed, retention of the orbital prosthesis is secured by fixation onto the eyeglasses. After the treatment of facial tumors with skin invasion, orbital facial prostheses are used. By means of immediate surgical prosthesis, preservation of facial esthetics, swallowing habits and normal speech can be attained even during the early postoperative period, and so postoperative frustration of the patient is avoided. Moreover, postoperative follow-up of the operation cavity for tumor recurrence through the defect is facilitated.
Açıklama
3rd International Symposium on Transplants and Implants in Otology -- JUN 10-14, 1995 -- BORDEAUX, FRANCE
Anahtar Kelimeler
Kaynak
Transplants and Implants in Otology - Iii, Proceedings
WoS Q Değeri
N/A
