title: Prosthetic Rehabilitation of Patients After Surgical Treatment of Maxillary Tumors with Respect to Upper Airway Protection.
abstract: As a consequence of surgical treatment of maxillary tumors, a connection between oral and nasal cavities is formed, which leads to serious functional disorders, manifested by inability to normally ingest food, proper speech articulation, and to respiratory route disorders and upper airway inflammation. These morphological and functional disorders are intensified by adjunctive radio- or chemotherapy. The aim of this paper is to present different possible methods of rehabilitation, including application of interim obturators and individually planned prosthetic restorations to improve respiratory efficiency in patients after extensive maxillary resections. In the course of prosthetic treatment, cooperation with the laryngologist to consider every aspect of chronic paranasal sinusitis, accompanied by concurrent inflammation of oral, nasal, or laryngeal mucous membranes, was of paramount importance. Based on the quality of life questionnaire, used in this study, evident improvement in the masticatory efficiency, speech articulation, and respiration was observed. Particularly good effects were obtained in edentulous patients, in whom implant-prosthetic treatment was possible to apply. Comprehensive and multidisciplinary care of postoperative patients greatly contributes to their better quality of life and facilitates their return to prior living conditions, as well as to occupational and family lives.
authors.affiliation: Department of Prosthodontics, Faculty of Medicine and Dentistry, Warsaw Medical University, 59 Nowogrodzka St., Pavillon XIa, 02-006, Warsaw, Poland.
authors.forename: D
authors.initials: D
authors.lastname: Rolski
authors.affiliation: Department of Prosthodontics, Faculty of Medicine and Dentistry, Warsaw Medical University, 59 Nowogrodzka St., Pavillon XIa, 02-006, Warsaw, Poland.
authors.forename: J
authors.initials: J
authors.lastname: Kostrzewa-Janicka
authors.affiliation: Department of Prosthodontics, Faculty of Medicine and Dentistry, Warsaw Medical University, 59 Nowogrodzka St., Pavillon XIa, 02-006, Warsaw, Poland.
authors.forename: R
authors.initials: R
authors.lastname: Nieborak
authors.affiliation: Department of Prosthodontics, Faculty of Medicine and Dentistry, Warsaw Medical University, 59 Nowogrodzka St., Pavillon XIa, 02-006, Warsaw, Poland.
authors.forename: D
authors.initials: D
authors.lastname: Przybyłowska
authors.affiliation: Department of Craniomaxillofacial and Oral Surgery with Implantology, Warsaw Medical University, Warsaw, Poland.
authors.forename: Z
authors.initials: Z
authors.lastname: Stopa
authors.affiliation: Department of Prosthodontics, Faculty of Medicine and Dentistry, Warsaw Medical University, 59 Nowogrodzka St., Pavillon XIa, 02-006, Warsaw, Poland.
authors.forename: E
authors.initials: E
authors.lastname: Mierzwińska-Nastalska
mesh_terms: D005260:Female; D006801:Humans; D007830:Larynx; D008297:Male; D008441:Maxillary Neoplasms / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D019736:Prostheses and Implants; D011788:Quality of Life
keywords: Head and neck cancer; Maxillary tumors; Obturators; Prosthetic rehabilitation; Respiration; Upper airway inflammation