Oral Rehabilitation with Filling Prosthesis in Bucconasal Communication after the Occurrence of Squamous Cell Carcinoma: Case Report
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n2.2182Keywords:
squamous cell carcinoma of head and neck, mouth rehabilitation, denture, partial, removable, mouth neoplasms, palatal obturatorsAbstract
Introduction: The treatment of malignant neoplasm may consist in extensive surgical excision. In some cases, due to aggressive treatment in the removal of the tumor, intraoral structures are strongly compromised. Thus, prostheses are used to fill the maxillary cavity, allowing reconstruction of the affected region, together with oral rehabilitation. Case report: A 53-year-old female patient, ex-smoker and ex-alcoholic was diagnosed with squamous cell carcinoma in the soft palate region, requiring transoral resection surgery associated with radiotherapy. After approximately one year, the patient returned with a new palatal lesion, also diagnosed as squamous cell carcinoma, requiring further transoral resection surgery. After two years, the patient returned to the Dentistry Department to receive the rehabilitative treatment, as she had only a temporary removable upper partial denture, where all the missing teeth were not replaced and there was poor adaptation to bucconasal communication. A final rehabilitative treatment was performed with upper partial removable denture and total prosthesis in the inferior residual ridge. Conclusion: The need for dental follow-up in cases of oral squamous cell carcinoma as well as the importance of rehabilitation treatment and its techniques contribute for the patient’s self-esteem and quality of life.
Downloads
References
Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. doi: https://doi.org/10.3322/caac.21492 DOI: https://doi.org/10.3322/caac.21492
Instituto Nacional de Câncer José Alencar Gomes da Silva [Internet]. Rio de Janeiro: INCA; [data desconhecida]. Síntese de resultados e comentários; [modificação 2020 maio 12; acesso 2018 ago 16]. Disponível em: https://www.inca.gov.br/estimativa/sintese-de-resultados-e-comentarios
Neville BW, Damm DD, Allen CM, et al. Oral and maxillofacial pathol. 4th ed. St. Louis (MO): Elsevier; c2016. Chapter 11, Salivary gland pathology; p. 475-507.
Neville BW, Day TA. Oral cancer and precancerous lesions. CA Cancer J Clin. 2002;52(4):195-215. doi: https://doi.org/10.3322/canjclin.52.4.195 DOI: https://doi.org/10.3322/canjclin.52.4.195
Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45(4-5):309-16. doi: https://doi.org/10.1016/j.oraloncology.2008.06.002 DOI: https://doi.org/10.1016/j.oraloncology.2008.06.002
Neville BW, Damm DD, Allen CM, et al. Oral and maxillofacial pathol. 4th ed. St. Louis (MO): Elsevier; c2016. Chapter 1, Developmental defects of the oral and maxillofacial region; p. 37-9.
Santos LCO, Batista OM, Cangussu MCT. Characterization of oral cancer diagnostic delay in the state of Alagoas. Braz J Otorhinolaryngol. 2010;76(4):416-22. doi: https://doi.org/10.1590/S1808-86942010000400002 DOI: https://doi.org/10.1590/S1808-86942010000400002
Scott SE, Grunfeld EA, McGurk M. The idiosyncratic relationship between diagnostic delay and stage of oral squamous cell carcinoma. Oral Oncol. 2005;41(4):396-403. doi: https://doi.org/10.1016/j.oraloncology.2004.10.010 DOI: https://doi.org/10.1016/j.oraloncology.2004.10.010
Brener S, Jeunon FA, Barbosa AA, et al. Carcinoma de células escamosas bucal: uma revisão de literatura entre o perfil do paciente, estadiamento clínico e tratamento proposto. Rev Bras Cancerol. 2007;53(1):63-9. doi: https://doi.org/10.32635/2176-9745.RBC.2007v53n1.1831 DOI: https://doi.org/10.32635/2176-9745.RBC.2007v53n1.1831
Moura LKB, Marcaccini AM, Matos FTC, et al. Integrative review on oral cancer. R Pesq Cuid Fundam. 2014;6(5):164-75. doi: https://doi.org/10.9789/2175-5361.2014.v6i5.164-175 DOI: https://doi.org/10.9789/2175-5361.2014.v6i5.164-175
Andrade FP, Antunes JLF, Durazzo MD. Evaluation of the quality of life of patients with oral cancer in Brazil. Braz Oral Res. 2006;20(4):290-6. doi: https://doi.org/10.1590/s1806-83242006000400002 DOI: https://doi.org/10.1590/S1806-83242006000400002
Lin FH, Wang TC. Prosthodontic rehabilitation for edentulous patients with palatal defect: report of two cases. J Formos Med Assoc. 2011;110(2):120-4. doi: https://doi.org/10.1016/S0929-6646(11)60019-3 DOI: https://doi.org/10.1016/S0929-6646(11)60019-3
Domingues JM, Corrêa G, Fernandes Filho RB, et al. Palatal obturator prosthesis: case series. Rev Gauch Odontol. 2016;64(4):477-83. doi: https://doi.org/10.1590/1981-8637201600030000183177 DOI: https://doi.org/10.1590/1981-8637201600030000183177
Chen C, Ren W, Gao L, et al. Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation. Braz J Otorhinolaryngol. 2016;82(2):177-83. doi: https://doi.org/10.1016/j.bjorl.2015.10.006 DOI: https://doi.org/10.1016/j.bjorl.2015.10.006
Gupta P, Sahni T, Jadhav GK, et al. A retrospective study of outcomes in subjects of head and neck cancer treated with hyperbaric oxygen therapy for radiation induced osteoradionecrosis of mandible at a tertiary care centre: an Indian experience. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 1):140-3. doi: https://doi.org/10.1007/s12070-013-0640-z DOI: https://doi.org/10.1007/s12070-013-0640-z
Lima AAS, Figueiredo MAZ, Loureiro MS, et al. Radioterapia de neoplasias malignas na região da cabeça e pescoço - o que o cirurgião-dentista precisa saber. Rev Odont Cienc. 2001;16(33):156-63.
Ottria L, Zavattini A, Ceruso FM, et al. Maxillo-facial prosthesis (P.M.F): in a case of oral-nasal communication post-surgery and post-radiotherapy. Oral Implantol (Rome). 2014;7(2):46-50. Cited in: PubMed; PMID 25694801. DOI: https://doi.org/10.11138/orl/2014.7.2.046
Milani V, Zara ALSA, Silva EN, et al. Direct healthcare costs of lip, oral cavity and oropharyngeal cancer in Brazil. PLoS One. 2021;16(2):e0246475. doi: https://doi.org/10.1371/journal.pone.0246475 DOI: https://doi.org/10.1371/journal.pone.0246475
Campolina AG, Yuba TY, Decimoni TC, et al. Health economic evaluations of cancer in brazil: a systematic review. Front Public Health. 2018;6:205. doi: https://doi.org/10.3389/fpubh.2018.00205 DOI: https://doi.org/10.3389/fpubh.2018.00205
Singh M, Bhushan A, Kumar N, et al. Obturator prosthesis for hemimaxillectomy patients. Natl J Maxillofac Surg. 2013;4(1):117-20. doi: https://doi.org/10.4103/0975-5950.117814 DOI: https://doi.org/10.4103/0975-5950.117814
Arun Kumar VR, Jagdish SK, Prabhu K, et al. Rehabilitation of maxillary defect by three different types of obturators – A case series. J Pierre Fauchard Acad. 2016;30(1):1-5. doi: https://doi.org/10.1016/j.jpfa.2016.10.004 DOI: https://doi.org/10.1016/j.jpfa.2016.10.004
Rabelo DP, Tanure RP, Grajeda FMC, et al. Reabilitação protética oral em paciente oncológico. Rev Univers Vale Rio Verde. 2018;16(1):1-8. doi: https://doi.org/10.5892/ruvrd.v16i1.4738 DOI: https://doi.org/10.5892/ruvrd.v16i1.4738
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.
