The utilization of a multi-layer prosthesis to treat recurrent antral carcinoma: a case report and review of the literature.
This paper reviews the use of an intracavitary mold in the radiotherapeutic management of recurrent sub-orbital carcinoma of the maxillary sinus. An overview of the clinical features of antral carcinomas and the concept of brachytherapy in the management of these lesions is presented. Brachytherapy is usually reserved for relatively accessible lesions. Post-surgical and radiation-induced trismus can be a complicating factor, as in the case presented, where the inter-incisal distance was less than three millimeters. To circumvent the problem, a multi-layer antral plug was utilized as a carrier for the radioactive sources, and its construction is described.
Miller
P A
PA
Department of Dentistry, Ontario Cancer Institute Inc., Toronto, Canada.
Maxymiw
W G
WG
McLean
M
M
Thomason
C
C
Brown
D H
DH
D000328:Adult; D001918:Brachytherapy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D003822:Denture Liners; D006801:Humans; D008297:Male; D008444:Maxillary Sinus Neoplasms / Q000532:radiotherapy*; D008689:Methacrylates; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy*; D019736:Prostheses and Implants; D011474:Prosthesis Design; D014313:Trismus / Q000209:etiology
D008689:Methacrylates; C069457:Coe-Soft denture lining material