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Maxillectomy

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https://www.readbyqxmd.com/read/29329558/quality-of-life-and-problems-associated-with-obturators-of-patients-with-maxillectomies
#1
Marwa Mohammed Ali, Nadia Khalifa, Mohammed Nasser Alhajj
BACKGROUND: Maxillary defects predispose patients to different undesirable effects. The aim of this study was to assess the quality of life (QoL) of patients with maxillary defects (acquired/congenital) wearing obturators. METHODS: The study comprised 30 patients aged between 16 and 78 years. Interviews were conducted to collect information pertaining to patients; sociodemographic, self-reported function of obturator using Obturator Functioning Scale (OFS), self-evaluation of general health using Visual Analogue Scale (VAS), radiotherapy treatment, salivary gland removal, reconstructive surgery, neck dissection and length of time obturators were worn...
January 5, 2018: Head & Face Medicine
https://www.readbyqxmd.com/read/29284985/a-conservative-method-of-retaining-an-interim-obturator-for-a-total-maxillectomy-patient
#2
Nirmal Famila Bettie
Interim obturators are indicated during the postsurgical phases. It promotes surgical healing and serves as a temporary prosthesis to rehabilitate a patient with intra-oral surgical defect. Retention is gained by wiring, surgical suturing, and other noninvasive methods to enable functional rehabilitation and easy replacement with a permanent obturator. Interim obturators serve as an easy guide for replacing with definitive obturators by indicating prosthesis extensions and the required method of retention. A more conservative and noninvasive method of retaining an interim obturator for a maxillectomy patient is described in this case report...
November 2017: Journal of Pharmacy & Bioallied Sciences
https://www.readbyqxmd.com/read/29284974/case-presentation-of-two-maxillectomy-patients-restored-with-two-piece-hollow-bulb-obturator-retained-using-two-different-types-of-magnets
#3
B Devi Parameswari, M Rajakumar, N Jagadesaan, H Annapoorni
Palatal defect can be repaired by reconstructive surgery and/or a dental prosthesis. We present prosthodontic rehabilitation of two partially edentulous patients, both with surgically induced palatal defect and explains how to achieve the goal for esthetics and phonetics. This also describes the fabrication of a hollow obturator by two piece method, which is simple and may be used as definitive obturator for maximum comfort of the patient. In both the above cases, since the mouth opening is restricted due to surgery, obturator prosthesis is given as two pieces retained with opposite poles of magnet, which facilitates the removal and insertion of the prosthesis...
November 2017: Journal of Pharmacy & Bioallied Sciences
https://www.readbyqxmd.com/read/29284902/elongated-miofascial-temporal-flap-in-comparison-with-standard-surgical-procedure-of-temporal-muscle-reconstruction
#4
Dino Dizdarevic, Tarik Masic, Edi Muslic
Introduction: Flap of the temporal muscle (m. temporalis) with its natural position, its mass and its length, compared with other bound and free microvascular flaps, is the method of choice for covering the middle part of the face after the removal of large tumor masses. Material: The study included a sample of 36 patients who were surgically treated due to malignant process at the middle face level with the performed partial, total or bilateral maxillectomy at the Clinic for Maxillofacial Surgery, University Clinical Center in Sarajevo...
October 2017: Medical Archives
https://www.readbyqxmd.com/read/29273193/predictors-of-obturator-functioning-and-satisfaction-in-turkish-patients-using-an-obturator-prosthesis-after-maxillectomy
#5
Meltem Ozdemir-Karatas, Ali Balik, Gülümser Evlioglu, Ömer Uysal, Kadriye Peker
OBJECTIVE: The aim of this study was to determine the sociodemographic, behavioral, and clinical factors affecting obturator function and satisfaction using the obturator functioning scale (OFS) in maxillectomy patients rehabilitated with obturator prostheses. STUDY DESIGN: The study sample consisted of 41 maxillectomy patients. The OFS was translated into Turkish and adapted for assessing obturator functioning and patient satisfaction among Turkish patients. Data were collected from patients' medical records and self-completed questionnaires, including the Turkish version of the OFS, sociodemographic and behavioral characteristics...
November 22, 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/29249886/the-use-of-cone-beam-computed-tomography-and-three-dimensional-printing-technology-in-the-restoration-of-a-maxillectomy-patient-using-a-dental-implant-retained-obturator
#6
George Michelinakis
This case report presents an alternative method for fabricating an obturator for patients that develop xerostomia and mild trismus following radiation to the Head and Neck region. Multiple initial impression stages are avoided leading to less irritation to soft tissues and less discomfort to the patient. A 69-year-old male patient was referred to our dental practice by the Maxillofacial Surgery Department of the local General Hospital. The patient had undergone a right maxillectomy for removal of a Squamous Cell Carcinoma 2 weeks prior...
October 2017: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/29210525/digitized-speech-characteristics-in-patients-with-maxillectomy-defects
#7
Mahmoud E Elbashti, Yuka I Sumita, Mariko Hattori, Amel M Aswehlee, Hisashi Taniguchi
PURPOSE: Accurate evaluation of speech characteristics through formant frequency measurement is important for proper speech rehabilitation in patients after maxillectomy. This study aimed to evaluate the utility of digital acoustic analysis and vowel pentagon space for the prediction of speech ability after maxillectomy, by comparing the acoustic characteristics of vowel articulation in three classes of maxillectomy defects. MATERIALS AND METHODS: Aramany's classifications I, II, and IV were used to group 27 male patients after maxillectomy...
December 6, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/29205443/digitized-evaluation-of-speech-intelligibility-using-vowels-in-maxillectomy-patients
#8
Yuka I Sumita, Mariko Hattori, Mai Murase, Mahmoud E Elbashti, Hisashi Taniguchi
BACKGROUND: Among the functional disabilities that patients face following maxillectomy, speech impairment is a major factor influencing quality of life. Proper rehabilitation of speech, which may include prosthodontic and surgical treatment and speech therapy, requires accurate evaluation of speech intelligibility (SI). A simple, less time-consuming yet accurate evaluation is desirable both for maxillectomy patients and the various clinicians providing maxillofacial treatment. OBJECTIVE: This study sought to determine the utility of digital acoustic analysis of vowels for the prediction of SI in maxillectomy patients, based on a comprehensive understanding of speech production in the vocal tract of maxillectomy patients and its perception...
December 4, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/29197111/evaluation-of-swallowing-ability-using-swallowing-sounds-in-maxillectomy-patients
#9
Ayuko Kamiyanagi, Yuka Sumita, Shuichi Ino, Manabu Chikai, Ayako Nakane, Haruka Tohara, Shunsuke Minakuchi, Yoshikazu Seki, Hiroshi Endo, Hisashi Taniguchi
Maxillectomy for oral tumors often results in debilitating oral hypofunction, which markedly decreases quality of life. Dysphagia, in particular, is one of the most serious problems following maxillectomy. This study used swallowing sounds as a simple evaluation method to evaluate swallowing ability in maxillectomy patients with and without their obturator prosthesis placed. Twenty-seven maxillectomy patients (15 men, 12 women; mean age 66.0±12.1 years) and 30 healthy controls (14 men, 16 women; mean age 44...
December 2, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/29193120/the-role-of-elective-neck-dissection-in-the-treatment-of-maxillary-sinus-squamous-cell-carcinoma
#10
Neel R Sangal, Yung-Jae Lee, Jacob S Brady, Tapan D Patel, Jean Anderson Eloy, Soly Baredes, Richard Chan Woo Park
OBJECTIVE: This study is designed to analyze the survival benefits of elective neck dissection (END) in the treatment of squamous cell carcinoma of the maxillary sinus (MS-SCC) with clinically negative neck lymph nodes (N0) and no metastasis (M0). STUDY DESIGN: The aim of this study was to evaluate whether END improves survival in patients with MS-SCC. METHODS: This study is a population-based, concurrent retrospective database analysis of patients diagnosed with N0M0 MS-SCC from 2004 to 2013...
November 29, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29181177/recurrent-maxillary-sinus-cancer-with-only-adrenal-metastasis
#11
Hye Jung Chang, Joon-Young Hur, Kyu Yeoun Won, Boksoon Chang, Ha Yeon Lee
Maxillary sinus cancer is rare, and often presents as a locally advanced disease. Recurrence commonly occurs locoregionally, while fewer patients present with distant metastasis; the most common sites involved are the lung and bone. This report discusses the case of a 64-year-old male who presented with a mass in the left submandibular area. Biopsy was performed and histological analysis identified a poorly differentiated squamous cell carcinoma. After staging work up, it was concluded the patient had a maxillary sinus squamous cell carcinoma at clinical stage IVA...
November 2017: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29179225/staged-reconstruction-delayed-immediate-of-the-maxillectomy-defect-using-cad-cam-technology
#12
John Henry Pang, Sebastian Brooke, Mark W Kubic, Robert L Ferris, Matilda Dhima, Matthew M Hanasono, Eric W Wang, Mario G Solari
No abstract text is available yet for this article.
November 27, 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29154250/functional-endoscopic-sinus-surgery-fess-in-unilateral-sinus-disease
#13
Daniela Mielcarek-Kuchta, Karolina Simon, Dawid Kondratowicz, Zofia Łukomska, Aleksandra Rybak-Korytowska
BACKGROUND: Unilateral sinus disease (USD) occurs in 23 % of all cases. It is believed that it is mainly associated with cancer development. Retrospective data from large rhinological centers show that the most common USD is chronic rhinosinusitis (CRS), followed by mycosis, inverted papilloma and finally cancer, but only in a small percent of cases. THE AIM OF THE STUDY: The analysis of USD in the group of patients who underwent FESS at the secondary referral center...
October 30, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29151373/nasoseptal-flap-for-palatal-reconstruction-after-hemi-maxillectomy-case-report
#14
M K Alwashahi, P Battaglia, M Turri-Zanoni, P Castelnuovo
OBJECTIVE: Palatal reconstruction following maxillectomy is a surgical challenge, and a nasoseptal flap is a feasible approach. This paper reports the first known successful clinical case of a nasoseptal pedicle flap applied for the reconstruction of maxillary bone following hemi-maxillectomy. CASE REPORT: This report describes hemi-maxillectomy in a 60-year-old Italian male diagnosed with stage IV squamous cell carcinoma of the left maxilla. Endoscopic transnasal extended medial maxillectomy was performed, followed by a transoral modified midfacial degloving technique for removal of the maxillary bone...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29137081/sinonasal-undifferentiated-carcinoma-originating-from-inverted-papilloma-a-case-report
#15
Jong Seung Kim, Ki Hwan Hong, Kyu Yun Jang, Jong Hoon Song
RATIONALE: Sinonasal inverted papilloma (IP) is a locally aggressive tumor found in the schneiderian membrane, lining the nasal cavity and paranasal sinuses. PATIENT CONCERNS: We report a case of a 63-year-old woman with undifferentiated carcinoma (UC) arising in an IP in the left maxillary sinus. DIAGNOSES: The preoperative diagnosis was IP of the maxillary sinus. INTERVENTIONS: We performed endoscopic medial maxillectomy to remove the remnant mass in the left maxillary sinus...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29130555/ethmoidal-adenocarcinoma-treated-by-exclusive-endoscopic-approach-focus-on-learning-curve-and-modification-of-management
#16
Natalie Oker, Benjamin Verillaud, Michel Wassef, Sébastien Froelich, Damien Bresson, Romain Kania, Philippe Herman
BACKGROUND: The purpose of this study was to investigate the outcome and recurrences for ethmoidal adenocarcinomas treated by exclusive endoscopic surgery in curative intent and investigate the role of the learning curve. METHODS: We conducted a single-center retrospective study, including 60 patients separated in 2 groups (2002-2011 n = 28 and 2012-2015 n = 32). RESULTS: The global survival rate at 5 years was 72.6%, and the global and local recurrence rates were 21...
November 11, 2017: Head & Neck
https://www.readbyqxmd.com/read/29114429/sectional-mandibular-complete-denture-for-a-total-maxillectomy-patient-with-trismus-a-clinical-report
#17
Tamer Celakil, Azize Demir, Haluk Keskin
This report presents the case of a 60-year-old male patient with trismus induced by radiotherapy and fabrication of a sectional mandibular complete denture to allow the insertion of the denture into the mouth. A mandibular sectional denture was designed in two pieces with a locking mechanism by using mini anchor and ball abutment housing with cap. Patients who have undergone maxillectomy often have constricted mouth openings, as a result of surgical intervention and radiotherapy, and complain of an inability to insert or remove dentures...
2017: Journal of Istanbul University Faculty of Dentistry
https://www.readbyqxmd.com/read/29084302/comparison-of-masticatory-and-swallowing-functional-outcomes-in-surgically-and-prosthetically-rehabilitated-maxillectomy-patients
#18
R Sreeraj, Vinod Krishnan, Manju V, Krishnakumar Thankappan
PURPOSE: This study compared masticatory and swallowing functional outcomes in maxillectomy patients who underwent surgical and prosthetic rehabilitation or prosthetic rehabilitation only following surgical resection. MATERIALS AND METHODS: This comparative cross-sectional study involved 20 maxillectomy patients and compared their masticatory and swallowing functions following combined surgical and prosthodontic management vs an exclusively prosthodontic approach...
November 2017: International Journal of Prosthodontics
https://www.readbyqxmd.com/read/29053078/contralateral-transmaxillary-corridor-an-augmented-endoscopic-approach-to-the-petrous-apex
#19
Chirag R Patel, Eric W Wang, Juan C Fernandez-Miranda, Paul A Gardner, Carl H Snyderman
OBJECTIVE The endoscopic endonasal approach (EEA) has been shown to be an effective means of accessing lesions of the petrous apex. Lesions that are lateral to the paraclival segment of the internal carotid artery (ICA) require lateralization of the paraclival segment of the ICA or a transpterygoid infrapetrous approach. In this study the authors studied the feasibility of adding a contralateral transmaxillary (CTM) corridor to provide greater access to the petrous apex with decreased need for manipulation of the ICA...
October 20, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29049462/association-of-surgical-approach-and-margin-status-with-oncologic-outcomes-following-gross-total-resection-for-sinonasal-melanoma
#20
Zafar Sayed, Jocelyn C Migliacci, Jennifer R Cracchiolo, Christopher A Barker, Nancy Y Lee, Sean M McBride, Viviane S Tabar, Ian Ganly, Snehal G Patel, Luc T Morris, Benjamin R Roman, Alexander N Shoushtari, Marc A Cohen
Importance: Sinonasal mucosal melanoma (SMM) is a rare malignant neoplasm characterized by a poor prognosis despite aggressive intervention including wide surgical resection. Margin status has previously been cited as an important prognostic factor for local control and overall survival (OS) in patients who undergo either an open or endoscopic surgical approach. No comparisons have been made, however, in patients who have undergone gross total resection with or without positive margins...
October 19, 2017: JAMA Otolaryngology—Head & Neck Surgery
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