Use of implant-supported palatal prosthetic obturation in the rehabilitation of adenoid cystic carcinoma sequelae: a case report

• Autor(a) principal: Chandretti, Paula Carolina de Souza
• Data de Publicação: 2020
• Outros Autores: Medeiros, Yuri de Lima, Vilela, Eduardo Machado, Oliveira, Gustavo Saggioro, Sudré, João Paulo da Silva
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/30044
• topic: Palatal Obturators; Maxillofacial Prosthesis; Prostheses and Implants; Carcinoma, Adenoid Cystic; Mouth Rehabilitation; Obturadores Palatinos; Prótese Maxilofacial; Próteses e Implantes; Carcinoma Adenóide Cístico; Reabilitação Bucal

Introduction: Adenoid cystic carcinoma (CAC) is a rare tumor and has a high potential for metastasis. In situations where the tumor has a critical location, such as in the case of the palate, surgical removal can be extremely invasive and mutilating, generating sequelae that result in functional and aesthetic damage to the patient.Objective: Report the clinical case of making an implant-supported palatal prosthetic obturation for the treatment of a patient with buccal-nasal communication resulting from CAC removal surgery.Case Report:A 33-year-old female patient sought dental care 6 months after the removal of a CAC in the nasopalatal region, for the rehabilitation of oral-nasal communication. To correct this communication, an immediate obturator prosthesis, retained by implants, was made using the Barra-Clip system. For that, there was the installation of osseointegrated implants, conventional and zygomatic, in addition to the manufacture of a metal bar for fixation of the prosthesis. With the made palatal prosthesis, two Clips were captured with self-curing acrylic resin. After making and installing the prosthesis, the patient was followed-up monthly for six months.Conclusion:Maxillofacial prostheses are effective in the rehabilitation of sequelae resulting from surgical treatment in cancer patients. The use of osseointegrated implants and the Barra-Clip system are good alternatives for the construction of pillars supporting these devices, providing stability and retention.