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[Prosthesis fitting after maxillectomy: an indispensable factor in acceptance and rehabilitation]
F Maire1, P Kreher, B Toussaint
1Cabinet dentaire, Centre Alexis Vautrin, Vandoeuvre-les-Nancy.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|March 30, 2000
Summary
Maxillary cancer surgery (maxillectomy) can cause speech and swallowing issues. Immediate prosthetic obturators, crafted by surgeons and maxillofacial prosthodontists, significantly improve patient quality of life post-surgery.
Area of Science:
- Oncology
- Oral and Maxillofacial Surgery
- Prosthodontics
Context:
- Maxillary cancer often necessitates surgical resection (maxillectomy).
- Maxillectomy creates an oroantral or oronasal communication, impacting oral function.
- Patients face significant speech, swallowing, and psychological challenges post-maxillectomy.
Purpose:
- To highlight the critical role of maxillofacial prosthetics in managing post-maxillectomy dysfunction.
- To emphasize the necessity of multidisciplinary collaboration between surgeons and prosthodontists.
- To outline the prosthetic rehabilitation process following maxillary resection.
Summary:
- Surgical resection for maxillary cancer leads to functional deficits affecting speech and swallowing.
- Immediate prosthetic obturators are essential for restoring function and improving psychological well-being.
- A phased prosthetic approach, from interim to definitive obturators, facilitates adaptation and optimal outcomes.
Impact:
- Restoration of speech and swallowing function improves patient quality of life.
- Effective prosthetic rehabilitation mitigates the negative psychological impact of maxillectomy.
- Multidisciplinary care ensures successful functional and aesthetic recovery for maxillectomy patients.