Rehabilitation of a Patient with Combined Hemimaxillectomy-hemimandibulectomy Defect using Unilateral Implant-supported Magnet-retained Prosthesis: A 3-year Follow-up
A 60-year-old patient presented with complaints of difficulty in chewing and deteriorating systemic health [Table/Fig-1]. The medical history revealed squamous cell carcinoma affecting the right part of the maxilla and mandible, which was surgically treated 15 years ago. The surgical interventio...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2023-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/18637/66493_CE[Ra1]_F(SS)_QC_(KK_RDW_AKD)_PF1(VD_OM)_redo_PFA(NC_OM)_PN(OM).pdf |
| Summary: | A 60-year-old patient presented with complaints of difficulty in
chewing and deteriorating systemic health [Table/Fig-1]. The medical
history revealed squamous cell carcinoma affecting the right part of
the maxilla and mandible, which was surgically treated 15 years ago.
The surgical intervention involved the removal of the maxillary alveolus,
tuberosity, mandibular condyle, and coronoid process, extending up
to the mandibular midline. Soft tissue reconstruction was performed
to address the maxillary defect. There was a recurrence of the
carcinoma, which was managed through radiotherapy. The patient
had controlled diabetes and hyperthyroidism and was on medication
for these conditions. On examination, a hemimaxillectomy without
oronasal fistula and a hemimandibulectomy that included the condyle
were observed. Decayed root stumps with periapical radiolucencies
[Table/Fig-2] were extracted. The presence of a scar band in the
right cheek ruled out the possibility of placing zygomatic or pterygoid
implants. Furthermore, the patient expressed unwillingness to
undergo an extensive and invasive reconstructive surgery due to
personal reasons. |
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| ISSN: | 2249-782X 0973-709X |